IndividualActive
David Mcculloch, PA
NPI 1629092457 · Surgical Physician Assistant · Albuquerque, NM
Provider details
- NPI number
- 1629092457
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 81-PA015 (NM)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1501 San Pedro, Se
Va Medical Center
Albuquerque, NM 87108
Phone: (505) 265-1711
Fax: (505) 256-5772
Approximate (ZIP-level) locationGet directions
Mailing address
6009 Unitas Ct Nw
Albuquerque, NM 87114-4938
Registry dates
- Enumerated
- 2006-07-26
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.