Organization
W. D. MCCALLUM, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM DESMOND MCCALLUM M.D. (PRESIDENT)
(650) 964-1505
Entity
Organization
Contact information
Practice address
1580 W EL CAMINO REAL, SUITE 1, MOUNTAIN VIEW, CA 94040-2458
(650) 964-1505
(650) 964-1522
Mailing address
1580 W EL CAMINO REAL, SUITE 1, MOUNTAIN VIEW, CA 94040-2458
(650) 964-1505
(650) 964-1522
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
GR0104720
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A305370
—
CA
05
—
00G212400
—
CA
Enumeration date
11/21/2007
Last updated
11/21/2007
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