Individual provider · Type 1 NPI

David A. McCulloch, PA

Surgical Physician Assistant · Albuquerque, NM

NPI number 1629092457 Active

Practice location

1501 San Pedro, SE, Va Medical Center
Albuquerque, NM 87108

Call (505) 265-1711 Map

Fax (505) 256-5772

Mailing address

6009 Unitas Ct NW
Albuquerque, NM 87114-4938

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X81-PA015 (NM)

Surgical Physician Assistant: Definition to come...

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About NPI 1629092457

David A. McCulloch, PA's National Provider Identifier is 1629092457, issued on Jul 26, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Albuquerque, NM. The record was last updated on Jul 8, 2007.