Ron Mcculley
NPI #1649397779 in Scott City, Missouri
Provider Information
- NPI Number
- 1649397779
- Entity Type
- Organization
- Organization Name
- Ron Mcculley
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Mar 23, 2007
- Last Updated
- Jun 16, 2008
Practice Location
- Address
- 2520 JAMES ST
- City
- Scott City
- State
- Missouri
- ZIP Code
- 63780-1219
- Phone
- (573) 264-2424
Authorized Official
- Name
- RON MCCULLEY
- Title
- ADMINISTRATOR
- Phone
- (573) 264-2424
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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