| William J Mcallister Jr Md A Professional Corporation | |
|
21 Tamal Vista Blvd Ste 110 Corte Madera CA 94925-1122 | |
| (415) 924-5010 | |
| (415) 924-5210 |
| Full Name | William J Mcallister Jr Md A Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 21 Tamal Vista Blvd Ste 110, Corte Madera, California |
| Authorized Official Name and Position | William J. Mcallister (PRESIDENT) |
| Authorized Official Contact | 4159245018 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| William J Mcallister Jr Md A Professional Corporation 21 Tamal Vista Blvd Ste 110 Corte Madera CA 94925-1122 Ph: (415) 924-5010 | William J Mcallister Jr Md A Professional Corporation 21 Tamal Vista Blvd Ste 110 Corte Madera CA 94925-1122 Ph: (415) 924-5010 |
| NPI Number | 1629267059 |
|---|---|
| Provider Enumeration Date | 10/22/2007 |
| Last Update Date | 07/23/2020 |
| Medicare PECOS PAC ID | 8820174337 |
|---|---|
| Medicare Enrollment ID | O20080325000145 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629267059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G18899 (California) | Primary |
| Provider Name | Jason Green |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215000823 PECOS PAC ID: 1052362472 Enrollment ID: I20050202001125 |
| Provider Name | William Mcallister |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821072646 PECOS PAC ID: 8820011026 Enrollment ID: I20060112000972 |
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