Doctor Name: | PHILLIP V MCALLISTER |
NPI Number: | 1740286699 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 15687R |
Business Practice Address: | 115 Eureka Dr Tri-parish Orthopedic & Neurosurgical Institute, Llc. Gray, LA - 70359 |
Business Phone Number: | 9858731477 |
Business Fax Number: | 9858731545 |
Mailing Address: | 115 Eureka Dr, Tri-parish Orthopedic & Neurosurgical Institute, Llc. GRAY |
State: | LA |
Postal Code: | 70359 |
Phone Number: | 9858731477 |
Fax Number: | 9858731545 |
NPI Enumeration Date: | 06/24/2005 |
NPI Last Update Date: | 09/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 15687R |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
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. |