William A Mccullough, PA-C, MCMSC

NPI #1992082713 in Konawa, Oklahoma

Provider Information

NPI Number: 1992082713
Entity Type: Individual
Name: William A Mccullough, PA-C, MCMSC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C, MCMSC
Enumeration Date: Nov 8, 2011
Last Updated: Apr 2, 2015

Practice Location

Address: 527 W 3RD ST
City: Konawa
State: Oklahoma
ZIP Code: 74849-1415
Phone: (580) 925-3286

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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