Callaway Internal Medicine Group

NPI #1811182652 in Fulton, Missouri

Provider Information

NPI Number: 1811182652
Entity Type: Organization
Organization Name: Callaway Internal Medicine Group
Primary Specialty: Internal Medicine
Enumeration Date: Sep 13, 2007
Last Updated: Sep 13, 2007

Practice Location

Address: 2613 FAIRWAY DR
Address 2: SUITE D
City: Fulton
State: Missouri
ZIP Code: 65251-3936
Phone: (573) 642-4242

Authorized Official

Name: DR. FREDERICK M. WILSON, M.D.
Title: PRESIDENT
Phone: (573) 642-4242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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