Individual
RONALD ALVIN MCCALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
5946 S KIMBROUGH AVE, SPRINGFIELD, MO 65810-3230
(417) 886-1262
Mailing address
5946 S KIMBROUGH AVE, SPRINGFIELD, MO 65810-3230
(417) 886-1262
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
107722
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0215424
DEPARTMENT OF LABOR WA
WA
01
—
0600213
UNITED HEALTHCARE
MO
01
—
149005
BLUE CROSS/CHOICE
MO
01
—
15083
COX HEALTH PLANS UPI
MO
01
—
18942
COX HEALTH PLANS
MO
05
—
220024495
—
MO
05
—
502277007
—
MO
01
—
572313
HEALTHLINK
MO
01
—
S35583
USPS (W/C)
MO
Enumeration date
05/30/2006
Last updated
01/11/2023
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