Individual
DR. JAMES W MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
729 E SPAULDING AVE, PUEBLO WEST, CO 81007-3512
(719) 547-9119
Mailing address
PO BOX 800022, KANSAS CITY, MO 64180-0022
(800) 953-0104
(303) 765-6670
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0067657
CO
208M00000X
Hospitalist Physician
DR.0067657
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000183241
—
CO
Enumeration date
04/08/2016
Last updated
11/15/2023
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