MR. Gordon Derek Callaway, PA-C is a medical physician assistant in Lebanon, NH. MR. Gordon Derek Callaway, PA-C NPI is 1316968100. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1 MEDICAL CENTER DR
LEBANON, NH
ZIP 03756-000
Phone: (603) 650-5599
The NPI 1316968100 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 7/21/2006 and was last updated on 10/28/2011.