NPI 1043207418
John Michael McNulty, MD
Practice location
- Address
- 229 S 8th St St Maries Family Medicine, St Maries, ID 83861-1813
- Phone
- (208) 245-2591
- Fax
- (208) 245-5246
Registered specialties
Orthopaedic Surgery Physician
Primary
Registry record
- NPI
- 1043207418
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 30 Sep 2005
- Record last updated
- 4 Mar 2008
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.