Individual
RUSSELL JAMES MCCULLOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2008019344
MO
207RI0200X
Infectious Disease Physician
2008019344
MO
208000000X
Pediatrics Physician
2008019344
MO
2080P0208X
Pediatric Infectious Diseases Physician
Primary
2008019344
MO
Other
Enumeration date
09/01/2006
Last updated
07/29/2013
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