Individual
DR. EDWARD CLARK CULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1910 E. BARNETT RD, SUITE 102, MEDFORD, OR 97504-8672
(541) 727-8972
(833) 638-0201
Mailing address
1910 E. BARNETT RD, SUITE 102, MEDFORD, OR 97504-8672
(541) 727-8972
(833) 638-0201
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD16629
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008347
—
OR
Enumeration date
07/06/2005
Last updated
09/15/2021
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