Individual
MR. DUNCAN A MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPSGT, CCSH
Contact information
Practice address
13121 12TH AVE S, BURIEN, WA 98168-2874
(504) 264-2236
Mailing address
13121 12TH AVE S, BURIEN, WA 98168-2874
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030
BPRT, CCSH
—
01
—
14065
BPRT, RPSGT
—
Enumeration date
12/21/2019
Last updated
12/21/2019
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