Individual
KRISTOPHER BLAKE MCCALL
Active
Individual
KRISTOPHER BLAKE MCCALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
29074
OK
207X00000X
Orthopaedic Surgery Physician
Primary
R1582
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200445890A
—
OK
Enumeration date
05/30/2012
Last updated
07/21/2022
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