Individual provider · Type 1 NPI

Richard Q. Callahan, MSPA, PA-C

Medical Physician Assistant · Burlington, VT

NPI number 1891785671 Active

Practice location

111 Colchester Ave, Dermatology - ACC/WP-5
Burlington, VT 05401-1473

Call (802) 847-4570 Map

Fax (802) 847-3364

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X055-0030786 (VT)
Medical Physician Assistant Primary 363AM0700X055-0030786 (VT)

Medical Physician Assistant: Definition to come...

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About NPI 1891785671

Richard Q. Callahan, MSPA, PA-C's National Provider Identifier is 1891785671, issued on Oct 24, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Burlington, VT. The record was last updated on Nov 12, 2013.