Individual
MARVIN HAROLD MCALLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3355 RIVERBEND DR STE 300, SPRINGFIELD, OR 97477-8800
(541) 868-9303
(541) 868-9306
Mailing address
3355 RIVERBEND DR STE 300, SPRINGFIELD, OR 97477-8800
(541) 868-9303
(541) 868-9306
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00908
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500605196
—
OR
Enumeration date
08/28/2006
Last updated
02/13/2020
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