Organization
J & P MEDICAL LC
Active
Other names
J & P Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL J MCCULLEN (OWNER)
(314) 514-9690
Entity
Organization
Contact information
Practice address
7586 OLIVE BLVD, UNIVERSITY CITY, MO 63130-1601
(314) 863-8633
(314) 863-8633
Mailing address
1030 ACCENT DR, SAINT LOUIS, MO 63146-5002
(314) 514-9690
(314) 514-9690
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
17004454
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023862
UHC PROVIDER NUMBER
MO
Enumeration date
11/20/2006
Last updated
08/22/2020
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