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Andrew Callis — NPI 1780121483, Jackson, MO | NPI Central

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NPI 1780121483

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Andrew Callis

NPI 1780121483 · Specialist · Jackson, MO

Provider details

NPI number: 1780121483
Entity type: Individual
Primary specialty: SpecialistOther Service Providers
Sex: Male
Sole proprietor: No
License: LC001520126 (MO)

Specialties & taxonomies

SpecialistPrimary174400000XLicense LC001520126 (MO)
Other Service Providers

Practice location

5303 Old Cape Rd E

Jackson, MO 63755-3850

Phone: (573) 755-0340

Approximate (ZIP-level) locationGet directions

More MO providers

Mailing address

5303 Old Cape Rd E

Jackson, MO 63755-3850

Registry dates

Enumerated: 2017-01-19
Last updated: 2017-01-19

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