Provider Demographics
NPI:1275770034
Name:CALLISON, JAMES RAY (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:RAY
Last Name:CALLISON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7526 E MERCER LN
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6452
Mailing Address - Country:US
Mailing Address - Phone:480-607-6728
Mailing Address - Fax:480-596-3720
Practice Address - Street 1:7526 E MERCER LN
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6452
Practice Address - Country:US
Practice Address - Phone:480-607-6728
Practice Address - Fax:480-596-3720
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-15
Last Update Date:2024-04-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ5785208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery