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Individual
CHARLES DAVID CULBERTSON
Active
Individual
CHARLES DAVID CULBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO24952
OR
208M00000X
Hospitalist Physician
Primary
DO24952
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029027
—
OR
Enumeration date
03/24/2006
Last updated
03/24/2011
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