Individual
DR. BRUCE C MCALLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1055 N 500 W, SUITE 102, PROVO, UT 84604-3305
(801) 374-2367
(801) 429-0600
Mailing address
1055 N 500 W, CREDENTIALING DEPARTMENT, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G79679
CA
207RH0003X
Hematology & Oncology Physician
2819611205
UT
2085R0001X
Radiation Oncology Physician
Primary
281961-1205
UT
Other
Enumeration date
05/27/2005
Last updated
11/27/2023
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