Callister, Matthew D

Callister, Matthew D is an individual health care provider with primary practice located at 2940 E Banner Gateway Dr Suite 450, Gilbert AZ 85234-2168. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Callister, Matthew D can be contacted via phone (480) 256-6444.

Contact Information

Primary practice address
2940 E Banner Gateway Dr Suite 450 Gilbert AZ 85234-2168
Phone: (480) 256-6444
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 32639 Arizona

Profile Details

NPI number 1124000948
LBN Legal business name Callister, Matthew D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Nov 3rd, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124000948 NPPES
Arizona MEDICAID 855471
Arizona Other 86080015085054B049
Arizona Other 86080015085259C434
Arizona Other P00187177

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