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Individual

SUMNER R CULLOM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
700 W KEISER AVE, OSCEOLA, AR 72370-3506
(870) 563-0757
(870) 563-0754
Mailing address
PO BOX 1331, JONESBORO, AR 72403-1331
(870) 932-7024
(870) 930-9377

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ARC4583
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103504001
AR
Enumeration date
01/17/2006
Last updated
07/01/2026
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