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NPI Code Detail

MEDICARE: PHILLIP V MCALLISTER MD

MEDICARE: PHILLIP V MCALLISTER 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
1207T00000XNeurological Surgery PhysicianMD471375PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
211283105OTHERCAQH

General Provider Information

NPI Number : 1740286699
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILLIP V MCALLISTER MD
Provider Business Mailing Address
First Line : 2315 MYRTLE ST STE L90
Second Line :
City : ERIE
State : PA
Zip : 16502-4607
Country : US
Telephone Number : 814-452-7575
Fax Number : 814-452-7574
Provider Business Practice Location Address
First Line : 2315 MYRTLE ST STE L90
Second Line :
City : ERIE
State : PA
Zip : 16502-4607
Country : US
Telephone Number : 814-452-7575
Fax Number : 814-452-7574
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2005
Last Update Date : 10/01/2020

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Directions to “ PHILLIP V MCALLISTER MD” Practice Location

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