Provider Demographics
NPI:1760641997
Name:MCCALEB, JONATHAN L (MD)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:L
Last Name:MCCALEB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:5250 NEIL RD
Mailing Address - Street 2:#207
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-6542
Mailing Address - Country:US
Mailing Address - Phone:775-398-1981
Mailing Address - Fax:775-398-1984
Practice Address - Street 1:5250 NEIL RD
Practice Address - Street 2:#207
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-6542
Practice Address - Country:US
Practice Address - Phone:775-398-1981
Practice Address - Fax:775-398-1984
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-03
Last Update Date:2013-02-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV14163207QH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine