Wellformed AI

NPI 1063775732 · live from the CMS NPI Registry

Elizabeth Megan Callan, M.D.

Psychiatry & Neurology, Neurology in Springfield, OR. National Provider Identifier 1063775732, active.

NPI record

NPI1063775732 Type 1 · individual
StatusActive
Primary specialtyPsychiatry & Neurology, Neurology 2084N0400X
Practice location3377 Riverbend Dr, Springfield, OR 97477
Practice phone541-222-8400
Mailing address169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29425
EnumeratedJune 19, 2012
Last updatedMarch 30, 2023
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Psychiatry & Neurology, Neurology2084N0400XLL34926 (SC)
Psychiatry & Neurology, Psychiatry2084P0800XLL34926 (SC)
Psychiatry & Neurology, Neurology primary2084N0400XMD198441 (OR)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.