Russell Wade Mccullough in Lees Summit - Gastroenterology
Russell Wade Mccullough - NPI 1346223468
Russell Wade Mccullough is a Gastroenterology in Lees Summit, Missouri. Russell Wade Mccullough practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Russell Wade Mccullough is 1346223468. The last update date is 2007-07-08.
Russell Wade Mccullough's current location address is 3601 Ne Ralph Powell Rd, Lees Summit, Missouri. You can contact this provider via phone number 8162511200 and fax number 8162511280. The mailing address for Russell Wade Mccullough is 3601 Ne Ralph Powell Rd, Lees Summit, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Name | Russell Wade Mccullough |
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Address | 3601 Ne Ralph Powell Rd, Lees Summit, Missouri |
Phone Number | 8162511200 |
Fax Number | 8162511280 |
Sole Proprietor | N |
Credentials | DO |
NPI Number Detail
NPI Number | 1346223468 |
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Provider Enumeration Date | 2005-11-22 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 3601 Ne Ralph Powell Rd |
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City | Lees Summit |
State | Missouri (MO) |
Post Code | 640642357 |
Phone Number | 8162511200 |
Fax Number | 8162511280 |
Provider's Primary Taxonomy Detail
Speciality | Gastroenterology |
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Taxonomy | 207Rg0100X |
Licence No | 2001006773 |
Definition: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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209336205 | MO | -- |
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What is the unique identifier code issued to Russell Wade Mccullough by the Centers for Medicare & Medicaid Services?
The Russell Wade Mccullough has been assigned the NPI (National Provider Identifier) 1346223468. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Russell Wade Mccullough located?
The Russell Wade Mccullough is located at 3601 Ne Ralph Powell Rd, Lees Summit, MO 640642357.
What is Russell Wade Mccullough's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Russell Wade Mccullough is Gastroenterology, and the taxonomy classification code that categorizes this area of expertise is 207Rg0100X.
On what date did the Centers for Medicare & Medicaid Services issue the 1346223468 to Russell Wade Mccullough?
The Russell Wade Mccullough received its 1346223468 assignment from the Centers for Medicare & Medicaid Services on 2005-11-22.
As of what date was the information regarding Russell Wade Mccullough, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Russell Wade Mccullough, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.