Provider Demographics
NPI:1023388048
Name:MCALLISTER, RONALD ERIC (MD)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:ERIC
Last Name:MCALLISTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 GARDEN VALLEY CT
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-7001
Mailing Address - Country:US
Mailing Address - Phone:484-580-8233
Mailing Address - Fax:
Practice Address - Street 1:126 GARDEN VALLEY CT
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-7001
Practice Address - Country:US
Practice Address - Phone:857-222-9946
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-06
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG35801207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine