Briana McCullough
Specialist/Technologist, Other, Electroneurodiagnostic in Tulsa, OK. Individual provider (NPI-1).
NPI number1124861133
StatusActive
Last updated in NPPESJun 17, 2024
Details
- NPI
- 1124861133
- Entity type
- Individual (NPI-1)
- Name
- Briana McCullough
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 17, 2024
- Certification date
- Jun 17, 2024
- Last updated
- Jun 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZE0600X | Specialist/Technologist, Other, Electroneurodiagnostic | – | – | Yes |
Practice location
1715 S Baltimore AveTulsa, OK 74119-4807
Phone 918-895-7680
Mailing address
1715 S Baltimore AveTulsa, OK 74119-4807
Phone 918-895-7680
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