Individual
TEREN WAYNE ABRAHAM CULBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5533
(719) 305-9317
(719) 305-9036
Mailing address
7344 MALLORY LN, ALEXANDRIA, VA 22315-4702
(573) 999-2947
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA.0005079
CO
Other
Enumeration date
05/14/2017
Last updated
07/21/2022
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