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RYAN MCCULLOCH, PA
PA
Physician Assistant
NPI: 1720195530IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
PA405(ID)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Class of 2002
Contact & Hours
- Address
- 147 W CHUBBUCK RD
CHUBBUCK, ID 83202 - Phone
- (208) 238-7546
Quick Facts
- NPI
- 1720195530
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 24
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