Individual
DR. MICHAEL W CALLAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3700 CLIFF DR, FORT SMITH, AR 72903-5954
(479) 259-9286
Mailing address
PO BOX 3528, FORT SMITH, AR 72913-3528
(479) 274-2000
(479) 274-2194
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C-7671
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080043862
RR MEDICARE
—
05
—
121528001
—
AR
Enumeration date
06/25/2006
Last updated
10/30/2019
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