Individual
DR. MARK TRAVIS CALLESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
610 E BASELINE RD STE 5, PHOENIX, AZ 85042-6536
(602) 230-7373
(602) 441-5836
Mailing address
3101 N CENTRAL AVE STE 550, PHOENIX, AZ 85012-2635
(602) 230-7373
(602) 682-7455
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
23058
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059536
—
AZ
Enumeration date
08/30/2006
Last updated
11/21/2025
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