James Alton Callis in Page - Physician Assistant

James Alton Callis - NPI 1003817610

James Alton Callis is a Physician Assistant in Page, Arizona. James Alton Callis practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for James Alton Callis is 1003817610. The last update date is 2011-09-12.

James Alton Callis's current location address is Po Box 1625, Page, Arizona. You can contact this provider via phone number 9286451700 and fax number 9286451701. The mailing address for James Alton Callis is Po Box 1625, Page, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name James Alton Callis
Address Po Box 1625, Page, Arizona
Phone Number 9286451700
Fax Number 9286451701
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1003817610
Provider Enumeration Date 2005-08-04
Last Updated Date 2011-09-12

Provider Mailing Address Detail

Address Po Box 1625
City Page
State Arizona (AZ)
Post Code 860401625
Phone Number 9286451700
Fax Number 9286451701

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No LL15374
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
365217 AZ --

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FAQs about James Alton Callis

What is the unique 10-digit identification code assigned to James Alton Callis by the Centers for Medicare & Medicaid Services?

The James Alton Callis has been issued the NPI (National Provider Identifier) 1003817610, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where James Alton Callis is geographically located?

The James Alton Callis is physically situated at the following location: Po Box 1625, Page, AZ, 860401625.

What is James Alton Callis's specialized field of practice, and what is the corresponding taxonomy classification code?

The James Alton Callis's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1003817610 to James Alton Callis?

The Centers for Medicare & Medicaid Services originally issued the 1003817610 to James Alton Callis on 2005-08-04.

As of what date were the James Alton Callis's details last updated?

The information pertaining to the James Alton Callis, including its address, specialty, and other details, was most recently updated on 2011-09-12.

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