SearchMontana183500000X

Acacia Maccallum

NPI 1710666219 · on the registry since 2023 · sole proprietor

Practice

Address
3555 Mullan Rd
Missoula, MT 59808
Phone
(406) 251-6060
Organisation at this address
Walmart Inc.
Wal-Mart Stores, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
MT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-07-13

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 Montana