Individual
PATRICK J MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1101 SUMMIT RD, CINCINNATI, OH 45237-2621
(513) 948-3600
(513) 948-8631
Mailing address
1101 SUMMIT RD, CINCINNATI, OH 45237-2621
(513) 948-3600
(513) 948-8631
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35069168
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0382321
—
OH
05
—
64956493
—
KY
Enumeration date
06/09/2006
Last updated
10/28/2014
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