| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MICHAEL MCCULLAGH | 1518584366 | 2020-06-30 |
Michael Mccullagh is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1518584366. Registration indicates Michael Mccullagh is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Family Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine, Allopathic & Osteopathic Physicians)
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Dr. Michael Mccullagh MD |
| Practice Office Address | 2500 S 8TH AVE STE 200 YUMA, AZ US |
| Practice Office Telephone | 9283367095 |
| Mailing Address | 2500 S 8TH AVE STE 200 YUMA, AZ 853647158 US |
| Business Telephone | 2072390708 |
| Code | Practice | License No State |
|---|---|---|
| 207Q00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Family MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Family Medicine Allopathic & Osteopathic Physicians Family Medicine Family Medicine Primary Care/Family Planning/APRN/PA Family Medicine Allopathic & Osteopathic Physicians | 1908R78406
AZ |