Individual
DR. BRIAN JAMES MCCALLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1501
Mailing address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1501
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD00040107
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
192384
L&I PROVIDER NUMBER
WA
01
—
192385
L&I PROVIDER NUMBER
WA
01
—
192386
L&I PROVIDER NUMBER
WA
05
—
8279937
—
WA
Enumeration date
01/03/2006
Last updated
05/02/2018
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