Individual
DR. RICHARD MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
618 S 2ND ST, COSHOCTON, OH 43812-1909
(740) 623-0110
(740) 623-0318
Mailing address
618 S 2ND ST, COSHOCTON, OH 43812-1909
(740) 623-0110
(740) 623-0318
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2990
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0251981
—
OH
Enumeration date
09/11/2006
Last updated
08/03/2011
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