NPI 1104864651

Michael Callahan, MD

Practitioner Orthopaedic Surgery Physician Provo, UT

Practice location

Address: 1055 N 500 W, Provo, UT 84604-3305
Phone: (801) 763-3885
Fax: (801) 763-3887
Mailing address: 1055 N 500 W Credentialing Department, Provo, UT 84604-3305

Registered specialties

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 160421-1205 (UT)

Other Orthopaedic Surgery providers in Utah →

Registry record

NPI: 1104864651
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Jun 2006
Record last updated: 22 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.