Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 30088 | OK |
N | 208600000X | Surgeon | 30088 | OK |
Y | 2086S0129X | Vascular Surgeon | 42691 | AL |
NPI | 1104262112 |
---|---|
Provider Name | Cullen Mccarthy |
First Address | Oklahoma City, OK 73104-5036 |
Second Address | Mobile, AL 36607-2301 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2013 |
Last Update Date | 12/01/2022 |