Individual
TIMOTHY ADAM CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.C.
Contact information
Practice address
331 E HIGHWAY 123, SUNNYSIDE, UT 84539-7725
(435) 888-4411
(435) 888-2270
Mailing address
PO BOX 930, EAST CARBON, UT 84520-0930
(435) 888-4411
(435) 888-2270
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
314106-1206
UT
363AM0700X
Medical Physician Assistant
314106-8906
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00228226
RAILROAD MEDICARE
UT
Enumeration date
07/31/2006
Last updated
03/31/2025
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