Organization
MIND-BODY ELECTRIC
Active
Parent organization
MCCALLUM ENTERPRISES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCCALLUM ENTERPRISES, LLC
Authorized official
MR. DOUGALD ARCHIBALD MCCALLUM (MEMBER)
(541) 484-2101
Entity
Organization
Contact information
Practice address
1892 WILLAMETTE ST, EUGENE, OR 97401-3383
(541) 484-2101
Mailing address
1892 WILLAMETTE ST, EUGENE, OR 97401-3383
(541) 484-2101
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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