Provider Demographics
NPI:1023080736
Name:KELLEHER, ARTHUR JOSEPH (MD)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:JOSEPH
Last Name:KELLEHER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2435 PAMO AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92104-5422
Mailing Address - Country:US
Mailing Address - Phone:619-282-5064
Mailing Address - Fax:619-282-1879
Practice Address - Street 1:34800 BOB WILSON DR
Practice Address - Street 2:NMCSD, ATTN: MEDICAL STAFF SERVICES
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92134-1098
Practice Address - Country:US
Practice Address - Phone:619-532-6460
Practice Address - Fax:619-532-6299
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-06
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG46307207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology