Individual provider · Type 1 NPI

Michael Warren McCullough, DC

Chiropractor · Boise, ID

NPI number 1053415166 Active

Practice location

6003 Overland Rd Ste 104, Ste 104
Boise, ID 83709

Call (208) 343-2771 Map

Fax (208) 321-7914

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XC516 (ID)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1053415166

Michael Warren McCullough, DC's National Provider Identifier is 1053415166, issued on Sep 11, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Boise, ID. The record was last updated on Jul 8, 2007.