Basic Information
Provider Information
NPI: 1477879799
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MCCALL
FirstName: DION
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1718 M ST NW
Address2: #290
City: WASHINGTON
State: DC
PostalCode: 200364504
CountryCode: US
TelephoneNumber: 2679787442
FaxNumber:  
Practice Location
Address1: 22 S GREENE ST FL 11
Address2:  
City: BALTIMORE
State: MD
PostalCode: 212011544
CountryCode: US
TelephoneNumber: 6672141616
FaxNumber: 4103281674
Other Information
ProviderEnumerationDate: 04/12/2010
LastUpdateDate: 08/05/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XD0076229MDY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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