MR. Andrew Callis

NPI #1780121483 in Jackson, Missouri

Provider Information

NPI Number: 1780121483
Entity Type: Individual
Name: MR. Andrew Callis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Jan 19, 2017
Last Updated: Jan 19, 2017

Practice Location

Address: 5303 OLD CAPE RD E
City: Jackson
State: Missouri
ZIP Code: 63755-3850
Phone: (573) 755-0340

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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