Provider Demographics
NPI:1730480625
Name:MCCALLUM, JOHN CHARLES (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:CHARLES
Last Name:MCCALLUM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4011 TALBOT RD S STE 430
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98055-5791
Mailing Address - Country:US
Mailing Address - Phone:425-690-3498
Mailing Address - Fax:425-690-9498
Practice Address - Street 1:4011 TALBOT RD S STE 430
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-5791
Practice Address - Country:US
Practice Address - Phone:425-690-3498
Practice Address - Fax:425-690-9498
Is Sole Proprietor?:No
Enumeration Date:2010-11-08
Last Update Date:2022-08-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD612851162086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery