Jacob Callison, PA

NPI 1487885877 · on the registry since 2009

Practice

Address: 5050 E Kenosha St
Broken Arrow, OK 74014
Phone: (918) 994-5140
Fax: (918) 994-5150
Organisation at this address: Broken Arrow Diagnostic Medicine, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: Physician Assistant
363A00000X
Licence states on file: OK
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-10-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma