JACK G MCCULLOCH JR is a durable medical equipment medical supplies in Brea, CA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. JACK G MCCULLOCH JR NPI is 1790859585. The provider is registered as an organization entity type.
The provider Is Doing Business As Mcculloch's Wide Shoes.
The provider's business location address is:
685 S BREA BLVD
BREA, CA
ZIP 92821-308
Phone: (714) 529-6399
Fax: (714) 529-2859
The provider's authorized official is Apryl H Mcculloch .
The authorized official title is Co-owner and has the following contact phone number (714) 529-6399.
The enumeration date for this NPI number is 11/20/2006 and was last updated on 4/11/2013.