Individual
CULLAN FORREST PUTNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13777 AIR EXPRESSWAY BLVD, VICTORVILLE, CA 92394-0510
(760) 530-5000
Mailing address
1101 WOOTTON PKWY STE 300, ROCKVILLE, MD 20852-1066
(240) 453-6000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/13/2023
Last updated
10/02/2023
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