Individual
CORI DAWN CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
54 E 100 N, PRICE, UT 84501
(435) 637-2414
(435) 637-8205
Mailing address
54 E 100 N, PRICE, UT 84501
(435) 637-2414
(435) 637-8205
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
56733829934
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56733829901001
BCBS
UT
Enumeration date
02/27/2007
Last updated
07/08/2007
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