Individual
BRIAN M CULLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
212 COFFEE RD STE 100, BAKERSFIELD, CA 93309-1273
(661) 885-6060
Mailing address
1490 STONEHAVEN AVE, BROOMFIELD, CO 80020-2428
(720) 202-0575
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01062801A
IN
207P00000X
Emergency Medicine Physician
Primary
35080200C
OH
207P00000X
Emergency Medicine Physician
C170279
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2309335
—
OH
Enumeration date
05/26/2006
Last updated
07/07/2024
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