NPI 1104864651 · live from the CMS NPI Registry
Michael Callahan, MD
Orthopaedic Surgery in Provo, UT. National Provider Identifier 1104864651, active.
NPI record
| NPI | 1104864651 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 1055 N 500 W, Provo, UT 84604 |
| Practice phone | 801-763-3885 |
| Mailing address | 1055 N 500 W, Credentialing Department, Provo, UT 84604 |
| Enumerated | June 4, 2006 |
| Last updated | October 22, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery primary | 207X00000X | 160421-1205 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.