Phillip Jeremiah Culbertson

NPI #1255299004 in Affton, Missouri

Provider Information

NPI Number: 1255299004
Entity Type: Individual
Name: Phillip Jeremiah Culbertson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 12, 2026
Last Updated: Jan 12, 2026

Practice Location

Address: 6504 LAWNSIDE DR
City: Affton
State: Missouri
ZIP Code: 63123-3310
Phone: (606) 367-0545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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