Individual
JEFFERY CULLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
435 N 5TH ST, PHOENIX, AZ 85004-2157
(602) 827-2376
Mailing address
435 N 5TH ST, PHOENIX, AZ 85004-2157
(602) 827-2376
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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