Individual
DWAIN GAVIN MCCALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2211 NE 139TH ST, VANCOUVER, WA 98686-2742
(360) 487-1000
Mailing address
2817 REILLY ST, FORT BRAGG, NC 28310-7394
(910) 632-2229
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-13001
NC
Other
Enumeration date
06/26/2018
Last updated
06/29/2024
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