Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Joseph Thomas McCullough

Individual provider Physician Assistant · NPI 1922836147

Joseph Thomas McCullough is a Physician Assistant in Davenport, Iowa. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1320 W Lombard St
Davenport, IA 52804-2029
Phone: (563) 333-6008
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1922836147
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 22, 2024
Last updated in NPPESJuly 22, 2024
Certification dateJuly 22, 2024
Mailing address2914 Grandview Dr, Bloomington, IL 61704-4563

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