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NPI Code Detail

MEDICARE: DR. FRANK JOEL MCALLISTER DO

MEDICARE: DR. FRANK JOEL MCALLISTER DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RA0201XAllergy & Immunology (Internal Medicine) Physician525NV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2110051801OTHERNVRR MEDICARE
4AR415ZOTHERNVMEDICARE PROVIDER NUMBER

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1NV1221OTHERNVBLUE CROSS BLUE SHIELD
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114955762
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FRANK JOEL MCALLISTER DO
Provider Business Mailing Address
First Line : 7435 W AZURE DR
Second Line : SUITE 190
City : LAS VEGAS
State : NV
Zip : 89130-4426
Country : US
Telephone Number : 702-363-3666
Fax Number : 702-363-0118
Provider Business Practice Location Address
First Line : 7435 W AZURE DR
Second Line : SUITE 190
City : LAS VEGAS
State : NV
Zip : 89130-4426
Country : US
Telephone Number : 702-363-3666
Fax Number : 702-363-0118
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2006
Last Update Date : 08/25/2010

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Directions to “ DR. FRANK JOEL MCALLISTER DO” Practice Location

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