Individual
MS. HALEY MARIE MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
296 STAFFORD LANE, SUITE A, DELTA, CO 81416-2282
(970) 874-5777
(970) 874-1631
Mailing address
PO BOX 10100, DELTA, CO 81416-0008
(970) 874-5777
(970) 874-1631
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.0006117
CO
Other
Enumeration date
02/06/2019
Last updated
08/12/2025
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