Individual
GABRIELLE MACCALLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
600 S TIMBERLANE DR, EL DORADO, AR 71730-6990
(870) 862-2400
Mailing address
600 S TIMBERLANE DR, EL DORADO, AR 71730-6990
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PT2021-73
AR
Other
Enumeration date
04/24/2021
Last updated
08/24/2022
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