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1104864651
MICHAEL CALLAHAN
PROVO, UT
NPI
1104864651
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: UT 160421-1205)
Enumeration Date
2006-06-04
Last Update Date
2007-10-22
Business Address
-- MICHAEL CALLAHAN MD
1055 N 500 W
PROVO, UT 84604-3305
Phone number: 801-763-3885
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Mailing Address
-- MICHAEL CALLAHAN MD
1055 N 500 W CREDENTIALING DEPARTMENT
PROVO, UT 84604-3305
Phone number: 801-354-8225
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