Individual
DR. STEPHEN CALLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2346 E BROWN RD, MESA, AZ 85213-5255
(480) 969-3069
(480) 969-3419
Mailing address
2346 E BROWN RD, MESA, AZ 85213-5255
(480) 969-3069
(480) 969-3419
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6961
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147217
AHCCCS
AZ
Enumeration date
11/15/2006
Last updated
01/28/2022
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