Tracy Scott Maccallum in Riverside - Specialist
Tracy Scott Maccallum - NPI 1780709899
Tracy Scott Maccallum is a Specialist in Riverside, California. Tracy Scott Maccallum practices all healthcare services and medical treatments related to Specialist. The NPI Number for Tracy Scott Maccallum is 1780709899. The last update date is 2007-07-08.
Tracy Scott Maccallum's current location address is 813 Navajo Dr, Riverside, California. You can contact this provider via phone number 9513475179 and fax number 9517799541. The mailing address for Tracy Scott Maccallum is 813 Navajo Dr, Riverside, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy Scott Maccallum |
|---|---|
| Address | 813 Navajo Dr, Riverside, California |
| Phone Number | 9513475179 |
| Fax Number | 9517799541 |
| Sole Proprietor | Y |
| Credentials | LMT |
NPI Number Detail
| NPI Number | 1780709899 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 813 Navajo Dr |
|---|---|
| City | Riverside |
| State | California (CA) |
| Post Code | 925076048 |
| Phone Number | 9513475179 |
| Fax Number | 9517799541 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 1462 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique identifier code issued to Tracy Scott Maccallum by the Centers for Medicare & Medicaid Services (CMS)?
The Tracy Scott Maccallum has been assigned the NPI (National Provider Identifier) 1780709899. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Tracy Scott Maccallum's facilities are situated?
The facilities of Tracy Scott Maccallum are physically located at the following address: 813 Navajo Dr, Riverside, CA, 925076048.
What is Tracy Scott Maccallum's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Tracy Scott Maccallum is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1780709899 to Tracy Scott Maccallum?
The Centers for Medicare & Medicaid Services assigned the 1780709899 to Tracy Scott Maccallum on 2007-03-20.
When was the information pertaining to Tracy Scott Maccallum most recently updated or revised?
The details related to Tracy Scott Maccallum, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.