Individual
DR. CHLOE MELISSA MCCULLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2410 W 16TH ST, GREELEY, CO 80634-6004
(970) 810-6167
Mailing address
2620 MARINER CT, COLORADO SPRINGS, CO 80920-1413
(216) 965-5566
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
DR.0049373
CO
207LP2900X
Pain Medicine (Anesthesiology) Physician
DR.0049373
CO
208VP0014X
Interventional Pain Medicine Physician
01085130A
IN
208VP0014X
Interventional Pain Medicine Physician
Primary
DR.0049373
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
68083327
—
CO
Enumeration date
05/03/2007
Last updated
07/21/2022
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