Individual
DEBBIE ANN MCCALLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
31675 PACIFIC HWY S, FEDERAL WAY, WA 98003-5407
(253) 215-1093
(253) 215-1094
Mailing address
31675 PACIFIC HWY S, FEDERAL WAY, WA 98003-5407
(253) 215-1093
(253) 215-1094
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00039536
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011550
—
WA
01
—
356095
LABOR & INDUSTRIES
WA
Enumeration date
07/18/2006
Last updated
11/12/2020
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