Individual
RANDALL LEE CULBERTSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
29508 E PINK HILL RD, GRAIN VALLEY, MO 64029-9258
(816) 251-4724
(816) 246-4850
Mailing address
29508 E PINK HILL RD, GRAIN VALLEY, MO 64029-9258
(816) 228-9448
(816) 246-4850
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R2D26
MO
Other
Enumeration date
06/21/2005
Last updated
07/08/2007
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