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Callaway Internal Medicine Group — NPI 1205910874, Fulton, MO | NPI Central

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NPI 1205910874

OrganizationActive

Callaway Internal Medicine Group

NPI 1205910874 · Specialist · Fulton, MO

Provider details

NPI number: 1205910874
Entity type: Organization
Primary specialty: SpecialistOther Service Providers
Organization subpart: No
Authorized official: Frederick Wilson, Physician(573) 642-4242
License: 113229 (MO)

Specialties & taxonomies

SpecialistPrimary174400000XLicense 112907 (MO)
Other Service Providers
Specialist174400000XLicense 113229 (MO)
Other Service Providers

Practice location

2613 Fairway Dr

Suite D

Fulton, MO 65251-3936

Phone: (573) 642-4242

Approximate (ZIP-level) locationGet directions

More MO providers

Mailing address

2613 Fairway Dr

Fulton, MO 65251-3936

Registry dates

Enumerated: 2006-10-24
Last updated: 2020-08-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.