Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 525 | NV |
NPI | 1114955762 |
---|---|
Provider Name | Dr. Frank Joel Mcallister |
First Address | Las Vegas, NV 89130-4426 |
Second Address | Las Vegas, NV 89130-4426 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2006 |
Last Update Date | 25/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
002019410 | (05) | NV |
110051801 | RR MEDICARE (01) | NV |
AR415Z | MEDICARE PROVIDER NUMBER (01) | NV |
E85282 | (02) | |
NV1221 | BLUE CROSS BLUE SHIELD (01) | NV |