Individual
JO ANNA MCCALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1301 S MAIN ST, OTTAWA, KS 66067-3537
(785) 229-8341
(785) 229-8419
Mailing address
1301 S MAIN ST, OTTAWA, KS 66067-3537
(785) 229-8341
(785) 229-8419
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
T02201
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361038271
—
IL
01
—
070136
HEALTH ALLIANCE
IL
01
—
080174568
RAILROAD MEDICARE
IL
01
—
472301
HEALTHLINK
IL
01
—
7215059
BCBS PPO
IL
01
—
IL01M1
JOHN DEERE
IL
Enumeration date
07/30/2006
Last updated
08/13/2008
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