DR. Russell Wade Mccullough, DO
NPI #1346223468 in Lees Summit, Missouri
Provider Information
- NPI Number
- 1346223468
- Entity Type
- Individual
- Name
- DR. Russell Wade Mccullough, DO
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Internal Medicine - Gastroenterology
- Credential
- DO
- Enumeration Date
- Nov 22, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 3601 NE RALPH POWELL RD
- City
- Lees Summit
- State
- Missouri
- ZIP Code
- 64064-2357
- Phone
- (816) 251-1200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Gastroenterology — Gastroenterology |
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