John Michael Mcnulty, MD | |
229 S 8th St, St Maries Family Medicine, St Maries, ID 83861-1813 | |
(208) 245-2591 | |
(208) 245-5246 |
Full Name | John Michael Mcnulty |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 229 S 8th St, St Maries, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043207418 | NPI | - | NPPES |
27805 | Other | ID | BLUE CROSS OF ID |
000010000790 | Other | ID | REGENCE BS OF ID |
1043207418 | Medicaid | MT | |
8343854 | Medicaid | WA | |
124834 | Other | WA | DEPT OF LABOR & INDUSTRIE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | M7646 (Idaho) | Primary |
Mailing Address | Practice Location Address |
---|---|
John Michael Mcnulty, MD 229 S 8th St, St Maries Family Medicine, St Maries, ID 83861-1813 Ph: (208) 245-2591 | John Michael Mcnulty, MD 229 S 8th St, St Maries Family Medicine, St Maries, ID 83861-1813 Ph: (208) 245-2591 |
News Archive
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