Michael Warren Mccullough, DC

NPI #1053415166 in Boise, Idaho

Provider Information

NPI Number: 1053415166
Entity Type: Individual
Name: Michael Warren Mccullough, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Sep 11, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 6003 OVERLAND RD STE 104
Address 2: STE 104
City: Boise
State: Idaho
ZIP Code: 83709
Phone: (208) 343-2771

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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