Individual
MARC WARD MCALLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1805 E 19TH ST, THE DALLES, OR 97058-3365
(541) 296-2201
(541) 296-1237
Mailing address
PO BOX 1520, THE DALLES, OR 97058-3365
(541) 298-7971
(541) 296-6431
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
A94500
CA
208800000X
Urology Physician
Primary
MD151014
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500630880
—
OR
Enumeration date
02/22/2007
Last updated
07/29/2013
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