Individual
MR. JAMES ALTON CALLIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3272 E RIO VIRGIN RD, LITTLEFIELD, AZ 86432-3200
(928) 347-5971
(928) 357-5793
Mailing address
PO BOX 1625, PAGE, AZ 86040-1625
(928) 645-1700
(928) 645-1701
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4227
AZ
363A00000X
Physician Assistant
LL15374
OR
363A00000X
Physician Assistant
PA529
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
365217
—
AZ
Enumeration date
08/04/2005
Last updated
09/12/2011
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