Provider Demographics
NPI:1013367671
Name:MCALLISTER, GEOFFREY J (DPM)
Entity Type:Individual
Prefix:
First Name:GEOFFREY
Middle Name:J
Last Name:MCALLISTER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 BIRCHWOOD AVE STE A
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-1700
Mailing Address - Country:US
Mailing Address - Phone:360-734-3668
Mailing Address - Fax:360-676-8941
Practice Address - Street 1:520 BIRCHWOOD AVE STE A
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-1700
Practice Address - Country:US
Practice Address - Phone:360-734-3668
Practice Address - Fax:360-676-8941
Is Sole Proprietor?:No
Enumeration Date:2016-06-15
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPO60940994213E00000X
IL135.000908213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist