Dr JACKIE B CALLAWAY is a female medical professional, specializing in Physician Assistant. She graduated in 2010.
DIRECT ORTHOPEDIC CARE LLC
16818 N MARKETPLACE BLVD
NAMPA
ID
836875140
Tel: 2083214000
| Npi | 1801196720 |
| Pac Id | 4880881291 |
| Professional Enrollment Id | I20101210000938 |
| Last Name | CALLAWAY |
| First Name | JACKIE |
| Middle Name | B |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2010 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
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| Organization Legal Name | DIRECT ORTHOPEDIC CARE LLC |
| Group Practice Pac Id | 2163648155 |
| Number Of Group Practice Members | 18 |
| Line 1 Street Address | 16818 N MARKETPLACE BLVD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | NAMPA |
| State | ID |
| Zip Code | 836875140 |
| Phone Number | 2083214000 |
| Hospital Affiliation Ccn 1 | 130063 |
| Hospital Affiliation Lbn 1 | TREASURE VALLEY HOSPITAL |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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