MEDICARE: DR. WILLIAM J MCALLISTER JR. M.D.

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	207R00000X	Internal Medicine Physician	G18899	CA

General Provider Information

NPI Number	:	1821072646
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM J MCALLISTER JR. M.D.

Provider Business Mailing Address
First Line	:	21 TAMAL VISTA BLVD
Second Line	:	STE. 110
City	:	CORTE MADERA
State	:	CA
Zip	:	94925-1130
Country	:	US
Telephone Number	:	415-924-5010
Fax Number	:	415-924-5210

Provider Business Practice Location Address
First Line	:	21 TAMAL VISTA BLVD
Second Line	:	STE. 110
City	:	CORTE MADERA
State	:	CA
Zip	:	94925-1130
Country	:	US
Telephone Number	:	415-924-5010
Fax Number	:	415-924-5210

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

Provider Enumeration Date	:	12/05/2005
Last Update Date	:	02/13/2017

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