Individual
TYLER DUNCAN MCCULLOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3643 N ROXBORO ST, DURHAM, NC 27704-2702
(919) 470-6185
Mailing address
3643 N ROXBORO ST, DURHAM, NC 27704-2702
(919) 470-6185
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2017-00338
NC
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/04/2013
Last updated
02/11/2019
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