Individual provider · Type 1 NPI

Ryan T. McCulloch, PA

Physician Assistant · Chubbuck, ID

NPI number 1720195530 Active

Practice location

147 W Chubbuck Rd
Chubbuck, ID 83202-2314

Fax (208) 237-9643

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA405 (ID)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1720195530

Ryan T. McCulloch, PA's National Provider Identifier is 1720195530, issued on Aug 25, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Chubbuck, ID. The record was last updated on Dec 20, 2010.