MEDICARE: DR. ROBERT M MCCALLUM MD

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
1	174400000X	Specialist	30996	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134264427
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT M MCCALLUM MD

Provider Business Mailing Address
First Line	:	3040 N. SWAN RD STE B
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-1206
Country	:	US
Telephone Number	:	520-327-3454
Fax Number	:	520-327-3431

Provider Business Practice Location Address
First Line	:	3040 N. SWAN RD STE B
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-1206
Country	:	US
Telephone Number	:	520-327-3454
Fax Number	:	520-327-3431

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	02/15/2024

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