NPI 1902127350

Casey Kent McCullough, MD

Practitioner Family Medicine Physician Montezuma Creek, UT

Practice location

Address: 1478 East Highway 162, Montezuma Creek, UT 84534-0130
Phone: (435) 651-3700
Fax: (435) 678-0608
Mailing address: PO Box 130, Montezuma Creek, UT 84534-0130

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 86533281205 (UT)

Other Family Medicine providers in Utah →

Registry record

NPI: 1902127350
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jun 2010
Record last updated: 18 Mar 2022

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.