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Contact Information

ANDREW L MCCALL DPM PA
2920 CORTEZ AVE
IDAHO FALLS, ID83404-7554
 Phone: 208-529-0229
 Fax: 888-688-3439
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ANDREW L MCCALL DPM PA

NPI # 1134342256
LBN Legal business name ANDREW L MCCALL DPM PA
Authorized official ANDREW MCCALL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/10/2007
Last updated 09/19/2011 - About 15 years ago
Identifiers
ID Medicaid 807308400
ID Other P9335 BLUE CROSS OF IDAHO
ID Other 1351211 MEDICARE INDIVIDUAL PTAN
ID Other 000010150955 REGENCE BLUE SHIELD OF ID
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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