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Individual

DR. STEPHEN PATRICK MCCULLOH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
13960 FLORIDA BLVD., LIVINGSTON, LA 70754
(225) 686-0158
(225) 686-9965
Mailing address
8490 PICARDY AVE, BLDG 200, BATON ROUGE, LA 70809-3731
(225) 237-1754
(225) 237-1722

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.205997
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1821110
LA
Enumeration date
03/09/2010
Last updated
07/21/2022
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