Individual
RYAN J MCCALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM PA
Contact information
Practice address
2010 SW 10TH AVE, TOPEKA, KS 66604-1406
(785) 354-7608
(785) 354-4202
Mailing address
2010 SW 10TH AVE, TOPEKA, KS 66604-1406
(785) 354-7608
(785) 354-4202
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
12-00300
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114153
BLUE CROSS BLUE SHIELD IND. NUMBER
KS
01
—
12-00300
STATE LICENSE
KS
Enumeration date
11/16/2005
Last updated
03/07/2023
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