Individual
PROF. CULPEPPER HEWITT MCCULLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
510 E STONER AVE, OVERTON BROOKS VA MEDICAL CENTER, SHREVEPORT, LA 71101-4243
(318) 424-6042
Mailing address
801 BRITTANY LN, BOSSIER CITY, LA 71111-2172
(318) 742-0672
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
42715
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01409356
—
MS
Enumeration date
06/16/2006
Last updated
07/08/2007
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