Individual
MATTHEW RYAN MCCULLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2202
(415) 353-2725
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
A179031
CA
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
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