Individual
PETER R CALLAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
280 SIERRA COLLEGE DR STE 205, GRASS VALLEY, CA 95945-5763
(530) 273-8452
(530) 477-5182
Mailing address
280 SIERRA COLLEGE DR STE 205, GRASS VALLEY, CA 95945-5763
(530) 273-8452
(530) 477-5182
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G54736
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G547360
—
CA
Enumeration date
07/27/2006
Last updated
05/05/2017
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