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Mr. Gordon Derek Callaway, PA-C
Medical Physician Assistant in Lebanon, New Hampshire
NPI 1316968100

Gordon Derek Callaway is a Medical Physician Assistant based in Lebanon, NH and is specialized in Medical. Gordon Derek Callaway practices in Lebanon, NH and has the professional credentials of PA-C. The NPI Number for Gordon Derek Callaway is 1316968100 and holds a License No. 0592 (New Hampshire).

The current practice location address for Gordon Derek Callaway is 1 Medical Center Dr, Lebanon, NH and can be reached out via phone at 603-650-5599.

Location: 1 Medical Center Dr, Lebanon, NH, 03756-1000
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Provider Profile Details
NPI Number
1316968100
Provider Name
Gordon Derek Callaway
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1 Medical Center Dr, Lebanon, NH, 03756-1000
Phone Number
603-650-5599
Fax Number
Provider Enumeration Date
07/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30334478 05 NH
9000303 05 VT
institution
Provider Business Practice Location Address Details
Address
1 Medical Center Dr
City
State
Zip
03756-1000
Phone Number
603-650-5599
Fax Number
person
Provider Business Mailing Address Details
Address
1 Medical Center Dr
City
State
Zip
03756-1000
Phone Number
603-650-5599
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
0592 (New Hampshire)
Definition
Definition to come...
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