Individual
ROBERT DALE MCCULLOUGH II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5803 E 75TH PL, TULSA, OK 74136-7255
(918) 481-8725
Mailing address
5803 E 75TH PL, TULSA, OK 74136-7255
(918) 481-8725
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1290
OK
Other
Enumeration date
03/24/2006
Last updated
03/07/2023
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