Michael D. Mcculloch
Internist - Cardiovascular Disease Advanced Heart Failure and Transplant Cardiologist
5121 S Cottonwood St
Murray
, Utah 84107-5701
Michael D. Mcculloch
Internist - Cardiovascular Disease Advanced Heart Failure and Transplant Cardiologist
5121 S Cottonwood St
Murray
, Utah 84107-5701
(801) 507-4000
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About
Features
Specialties
- Advanced Heart Failure and Transplant Cardiologist
- Internist - Cardiovascular Disease
Languages spoken
- English
Location
First Address
- Michael D. Mcculloch
- 5121 S Cottonwood St
- Murray, UT
- Zip : 84107-5701
- Phone : (801) 507-4000
Second Address
- Michael D. Mcculloch
- 5121 S Cottonwood St
- Murray, UT
- Zip : 84107-5701
- Phone : (801) 507-4000
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Is Michael D. Mcculloch a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 10304627-1205 | UT |
| N | 207RC0000X | Internist - Cardiovascular Disease | 10304627-1205 | UT |
National Provider Identifier
| NPI | 1770742140 |
|---|---|
| Provider Name | Michael D. Mcculloch |
| First Address | Murray, UT 84107-5701 |
| Second Address | Murray, UT 84107-5701 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/06/2008 |
| Last Update Date | 24/04/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.