Individual
SUMNER R CULLOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
260 W BROAD ST, LEPANTO, AR 72354-0723
(870) 475-3180
(870) 475-3185
Mailing address
260 W BROAD ST, LEPANTO, AR 72354-0000
(870) 475-3180
(870) 475-3185
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
03/18/2016
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