Individual
MARK C CALLANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7925 YOUREE DR STE 200, SHREVEPORT, LA 71105
(318) 212-3610
(318) 212-3709
Mailing address
7925 YOUREE DR STE 200, SHREVEPORT, LA 71105-5134
(318) 212-3610
(318) 212-3709
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
320551
LA
207X00000X
Orthopaedic Surgery Physician
L-255690
MA
Other
Enumeration date
05/14/2013
Last updated
06/21/2021
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