Individual
JAMES ANTHONY MCCULLOM II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3104 E INDIAN SCHOOL RD, #200, PHOENIX, AZ 85016-6889
(602) 954-9484
(602) 954-6433
Mailing address
15624 N 172ND DR, SURPRISE, AZ 85388-0239
(602) 576-9957
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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