Individual
DANIEL MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8891 CENTRAL AVE, SUITE A, MONTCLAIR, CA 91763-1618
(909) 297-3361
Mailing address
8891 CENTRAL AVE, SUITE A, MONTCLAIR, CA 91763-1618
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
53829
CA
363A00000X
Physician Assistant
8672
AZ
Other
Enumeration date
08/07/2016
Last updated
01/22/2025
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