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Individual

MICHAEL EDWARD CALLAHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
10509 PROFESSIONAL CIR STE 101, RENO, NV 89521-4883
(775) 323-6100
Mailing address
603 TURTLE CREEK RD, PASO ROBLES, CA 93446-3666
(805) 610-2411

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
06/10/2019
Last updated
06/10/2019
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