Individual
DR. RICHARD P. MUCCILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
800 GRAND AVE, B-4, CARLSBAD, CA 92008-1808
(760) 729-0047
(760) 729-0915
Mailing address
800 GRAND AVE, B-4, CARLSBAD, CA 92008-1808
(760) 729-0047
(760) 729-0915
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
DC15102
CA
111NN0400X
Neurology Chiropractor
DC322
HI
Other
Enumeration date
04/26/2007
Last updated
12/20/2007
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