Individual
WILLIAM MCCULLOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
701 SAMMY DAVIS JR DR, LANGSTON, OK 73050-5002
(405) 466-2961
(405) 466-2961
Mailing address
701 SAMMY DAVIS JR DR, LANGSTON, OK 73050-5002
(405) 466-2961
(405) 466-2961
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
616
OK
Other
Enumeration date
08/20/2015
Last updated
08/20/2015
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