Individual
JANIS R MCCALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5623 W 19TH ST, GREELEY, CO 80634-2901
(970) 353-9011
(970) 353-9135
Mailing address
5623 W 19TH ST, GREELEY, CO 80634-2901
(970) 353-9011
(970) 353-9135
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23287
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01232875
—
CO
Enumeration date
06/16/2005
Last updated
01/05/2010
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