Individual
STANLEY J. CALLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
BUILDING 400, TOOELE ARMY DEPOT, TOOELE, UT 84074
(435) 833-2572
(435) 833-3933
Mailing address
2437 E 3510 S, SALT LAKE CITY, UT 84109-3480
(801) 272-7734
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
157295-1205
UT
Other
Enumeration date
02/08/2006
Last updated
10/23/2007
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