SUMNER R CULLOM M D P A NPI 1861609570

NPI Information

SUMNER R CULLOM M D P A is a rural health clinic center in Osceola, AR. SUMNER R CULLOM M D P A NPI is 1861609570. The provider is registered as an organization entity type.
The provider Is Doing Business As Cullom Rural Health Clinic.

The provider's business location address is:

700 W KEISER AVE
OSCEOLA, AR
ZIP 72370-506
Phone: (870) 563-6512
Fax: (870) 563-5013

The provider's authorized official is Sumner R Cullom .
The authorized official title is Owner and has the following contact phone number (870) 563-6512.

The enumeration date for this NPI number is 5/16/2007 and was last updated on 4/14/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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