# MATTHEW RYAN MCCULLOCH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1326401019
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | A179031 | CA | Yes |
| 2080P0201X | Pediatric Allergy/Immunology Physician | DR.0063979 | CO | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | — | — |

## Other

- **Enumeration date:** 03/31/2016
- **Last updated:** 04/07/2026