Doctor Name: | DR. ROBERT M MCCALLUM |
NPI Number: | 1134264427 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 30996 |
Business Practice Address: | 1521 E Tangerine Rd Suite 283 Oro Valley, AZ - 857556225 |
Business Phone Number: | 5208183680 |
Business Fax Number: | 5209012981 |
Mailing Address: | 1521 E Tangerine Rd, Suite 283 ORO VALLEY |
State: | AZ |
Postal Code: | 857556225 |
Phone Number: | 5208183680 |
Fax Number: | 5209012981 |
NPI Enumeration Date: | 02/21/2007 |
NPI Last Update Date: | 08/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 30996 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy 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. |