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Individual

STEPHEN P CALLAHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6595 S DAYTON ST, SUITE 1500, GREENWOOD VILLAGE, CO 80111-6128
(303) 504-9945
(303) 504-9946
Mailing address
11643 HANNAH DR, CONIFER, CO 80433-7519

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
29577039
CO
01
649046
ANTHEM
CO
Enumeration date
05/07/2007
Last updated
07/08/2007
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