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NPI Code Detail

MEDICARE: DR. HEATHER LEIGH CALLUM MD

MEDICARE: DR. HEATHER LEIGH CALLUM MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianD0050681MD

General Provider Information

NPI Number : 1083606461
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HEATHER LEIGH CALLUM MD
Provider Business Mailing Address
First Line : 508 UPLAND ST
Second Line :
City : KENAI
State : AK
Zip : 99611-8026
Country : US
Telephone Number : 907-335-7510
Fax Number : 888-491-3360
Provider Business Practice Location Address
First Line : 508 UPLAND ST
Second Line :
City : KENAI
State : AK
Zip : 99611-8026
Country : US
Telephone Number : 907-335-7510
Fax Number : 888-491-3360
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2005
Last Update Date : 05/07/2020

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Directions to “ DR. HEATHER LEIGH CALLUM MD” Practice Location

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