NPI 1942230610 · live from the CMS NPI Registry
Brian Culligan, O.D.
Optometrist in Gallup, NM. National Provider Identifier 1942230610, active.
NPI record
| NPI | 1942230610 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 516 E. Nizhoni Blvd, Box 1337, Gallup, NM 87301 |
| Practice phone | 505-722-1000 |
| Enumerated | July 5, 2006 |
| Last updated | April 11, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 1930 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.