| 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 |
Dr. Adrian Thomas Davis, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 229 S 7th St Fl 4, St Maries, ID 83861 Phone: 208-245-7629 Fax: 208-245-5246 |