Provider Demographics
NPI:1679841878
Name:MCALLISTER, AMAZAIR III (MD)
Entity Type:Individual
Prefix:DR
First Name:AMAZAIR
Middle Name:
Last Name:MCALLISTER
Suffix:III
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 1:6145 TROOST AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64110-3435
Mailing Address - Country:US
Mailing Address - Phone:816-361-3159
Mailing Address - Fax:816-361-3490
Practice Address - Street 1:6145 TROOST AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64110-3435
Practice Address - Country:US
Practice Address - Phone:816-361-3159
Practice Address - Fax:816-361-3490
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-02
Last Update Date:2014-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2000146118208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty