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Individual

DR. JAMES PATRICK CALLANAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
721 COMMONWEALTH AVE, BRISTOL, VA 24201-3321
(276) 466-3420
(276) 466-3387
Mailing address
721 COMMONWEALTH AVE, BRISTOL, VA 24201-3321
(276) 466-3420
(276) 466-3387

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000021
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
92-0503-9
VA
Enumeration date
09/01/2006
Last updated
07/08/2007
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