NPI 1710190350

Adult & Pediatric Urology, LLC

Organisation Urology Physician Farmington, NM

Practice location

Address: 2300 E 30th St Bldg B Suite 106, Farmington, NM 87401-8990
Phone: (505) 327-9111
Fax: (505) 327-2730

Authorised official

Name: Allen W McCulloch
Title: Owner
Phone: (505) 327-9111

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 87115 (NM)

Other Urology providers in New Mexico →

Registry record

NPI: 1710190350
Entity type: Organization
NPI issued: 8 May 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.