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Individual

MR. DAVID A CALLANAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1744 E MCANDREWS RD, SUITE B, MEDFORD, OR 97504
(541) 776-0821
(541) 776-5011
Mailing address
1744 E MCANDREWS RD, SUITE B, MEDFORD, OR 97504
(541) 776-0821
(541) 776-5011

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD18118
OR
2084P0804X
Child & Adolescent Psychiatry Physician
MD 18118
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MD 18118
MD LICENSE NUMBER
OR
Enumeration date
02/17/2007
Last updated
03/07/2023
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