Organization
GERALD W. MCCULLOUGH, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD WILLIAM MCCULLOUGH M.D., F.A.C.S. (PRESIDENT)
(405) 329-2442
Entity
Organization
Contact information
Practice address
900 N PORTER AVE STE 107, NORMAN, OK 73071-6426
(405) 329-2442
(405) 329-5149
Mailing address
900 N PORTER AVE STE 107, NORMAN, OK 73071-6426
(405) 329-2442
(405) 329-5149
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
6711
OK
Other
Enumeration date
03/13/2007
Last updated
08/22/2020
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