Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ANDREW CALLIS
ActiveSpecialist · JACKSON, MO
Registration Details
- NPI Number
- 1780121483
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 19, 2017 (9.2806315588999 yrs)
- Last Updated
- Jan 19, 2017
- License
-
LC001520126 (MO)
Practice Information
- Address
-
5303 OLD CAPE RD EJACKSON, MO, 637553850Browse MO providers · Browse ZIP 63755
- Phone
- 5737550340
- Primary Specialty
-
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.