Doctor Name: | DR. AMAZAIR MCALLISTER |
NPI Number: | 1679841878 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 2000146118 |
Business Practice Address: | 6145 Troost Ave Kansas City, MO - 641103435 |
Business Phone Number: | 8163613159 |
Business Fax Number: | 8163613490 |
Mailing Address: | 6145 Troost Ave, KANSAS CITY |
State: | MO |
Postal Code: | 641103435 |
Phone Number: | 8163613159 |
Fax Number: | 8163613490 |
NPI Enumeration Date: | 12/02/2011 |
NPI Last Update Date: | 07/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 2000146118 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |