Individual
SHANE ADAM MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
123 S 27TH ST, BILLINGS, MT 59101-4227
(406) 247-3350
(406) 247-3389
Mailing address
123 S 27TH ST, BILLINGS, MT 59101-4227
(406) 247-3350
(406) 247-3389
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
59046
MT
Other
Enumeration date
10/22/2014
Last updated
01/21/2021
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