Individual
MRS. DIANA LYNN CULBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1 CHILDRENS PL STE C, STE C, SAINT LOUIS, MO 63110-1002
(314) 454-6051
(314) 454-6225
Mailing address
1 CHILDRENS PL, CB 8116, SAINT LOUIS, MO 63110-1002
(314) 454-6051
(314) 454-6225
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2015006221
MO
363A00000X
Physician Assistant
Primary
2015006221
MO
Other
Enumeration date
05/21/2015
Last updated
01/24/2018
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