Individual
MR. BRADLEY HOWELL MCCULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
800 HOSPITAL DRIVE, ATTN: PROSTHETICS, COLUMBIA, MO 65201
(573) 814-6000
Mailing address
800 HOSPITAL DRIVE, ATTN: PROSTHETICS, COLUMBIA, MO 65201
(573) 814-6000
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CO002879
—
224P00000X
Prosthetist
C52669
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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