Robert Mccullough in Saint Peters - Clinical
Robert Mccullough - NPI 1790958304
Robert Mccullough is a Clinical in Saint Peters, Missouri. Robert Mccullough practices all healthcare services and medical treatments related to Clinical. The NPI Number for Robert Mccullough is 1790958304. The last update date is 2008-04-04.
Robert Mccullough's current location address is 209 Black Oak Dr, Saint Peters, Missouri. You can contact this provider via phone number 6362196200 and fax number 8008485681. The mailing address for Robert Mccullough is 209 Black Oak Dr, Saint Peters, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Mccullough |
|---|---|
| Address | 209 Black Oak Dr, Saint Peters, Missouri |
| Phone Number | 6362196200 |
| Fax Number | 8008485681 |
| Sole Proprietor | Y |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1790958304 |
|---|---|
| Provider Enumeration Date | 2008-04-04 |
| Last Updated Date | 2008-04-04 |
Provider Mailing Address Detail
| Address | 209 Black Oak Dr |
|---|---|
| City | Saint Peters |
| State | Missouri (MO) |
| Post Code | 633761740 |
| Phone Number | 6362196200 |
| Fax Number | 8008485681 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 5292 |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Robert Mccullough by the Centers for Medicare & Medicaid Services?
The Robert Mccullough has been issued the NPI (National Provider Identifier) 1790958304, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Robert Mccullough is physically located?
The Robert Mccullough is situated at the following address: 209 Black Oak Dr, Saint Peters, MO 633761740.
What is Robert Mccullough's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Robert Mccullough is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date was the 1790958304 assigned to Robert Mccullough?
The Robert Mccullough was issued its 1790958304 on 2008-04-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Robert Mccullough last refreshed?
The information related to the Robert Mccullough, including its address, specialty, and other relevant details, was last updated on 2008-04-04.
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