Jack G Mcculloch Jr
NPI #1790859585 in Brea, California
Provider Information
- NPI Number
- 1790859585
- Entity Type
- Organization
- Organization Name
- Jack G Mcculloch Jr
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Nov 20, 2006
- Last Updated
- Apr 11, 2013
Practice Location
- Address
- 685 S BREA BLVD
- City
- Brea
- State
- California
- ZIP Code
- 92821-5308
- Phone
- (714) 529-6399
Authorized Official
- Name
- MRS. APRYL H MCCULLOCH, C.PED.
- Title
- CO-OWNER
- Phone
- (714) 529-6399
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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