Individual
CODY S MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
214 W BOWERY ST, AKRON, OH 44308-1046
(330) 543-1000
Mailing address
8077 DEERPATH DR, BOARDMAN, OH 44512-5835
(330) 610-4035
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
0032597
OH
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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