Doctor Name: | MR. MICHAEL ANTHONY MCALISTER |
NPI Number: | 1760726608 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | APRN |
License Number: | R052805 |
Business Practice Address: | 1225 E Fort Union Blvd Suite 215 Cottonwood Heights, UT - 840471889 |
Business Phone Number: | 8012334200 |
Business Fax Number: | |
Mailing Address: | Po Box 27128, SALT LAKE CITY |
State: | UT |
Postal Code: | 841270128 |
Phone Number: | 8012334200 |
Fax Number: | |
NPI Enumeration Date: | 11/15/2012 |
NPI Last Update Date: | 05/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | R052805 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AR |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |