Individual
ROBERT MICHAEL O'CALLAGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
55 ELVA CT, VANDALIA, OH 45377-1875
(937) 208-7525
(937) 208-7515
Mailing address
55 ELVA CT, VANDALIA, OH 45377-1875
(937) 208-7525
(937) 208-7515
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50-00-0106
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0067901
—
OH
Enumeration date
06/06/2006
Last updated
08/12/2014
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