Mcculloch, Allen Wilson

Mcculloch, Allen Wilson is an individual health care provider with primary practice located at 2300 E 30Th Bldg B Suite 106, Farmington NM 87401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Mcculloch, Allen Wilson can be contacted via phone (505) 327-9111.

Contact Information

Primary practice address
2300 E 30Th Bldg B Suite 106 Farmington NM 87401
Phone: (505) 327-9111
Fax: (505) 327-2730
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 87 115 New Mexico

Profile Details

NPI number 1881778215
LBN Legal business name Mcculloch, Allen Wilson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Jun 18th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1881778215 NPPES
New Mexico MEDICAID 11338

Popular Providers