Individual
CALVIN J. MCALLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3245 CHANNING WAY, IDAHO FALLS, ID 83404-7536
(208) 227-2700
Mailing address
PO BOX 4908, POCATELLO, ID 83205-4908
(208) 236-1600
(208) 236-6695
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
M8182
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806034100
—
ID
01
—
J4803
BLUE CROSS
ID
Enumeration date
09/06/2006
Last updated
06/29/2010
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