Individual
DR. BRENT CULLINAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
801 N QUINCY AVE, OTTUMWA, IA 52501-3850
(641) 682-8219
Mailing address
801 N QUINCY AVE, OTTUMWA, IA 52501-3850
(641) 682-8219
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A06187
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194993
—
IA
01
—
44419
WELLMARK BCBS
IA
Enumeration date
02/10/2006
Last updated
09/10/2007
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