| NPI | 1336370659 |
|---|---|
| Former Name | JAMES BRADY CALLOS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA 66350) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA60807124) |
| 363AM0700X Physician Assistant, Medical (Licence: WA PA60807124) | |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2025-08-05 |