Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 19031 | OK |
NPI | 1023086378 |
---|---|
Provider Name | Daniel J Culkin |
First Address | Oklahoma City, OK 73104-5036 |
Second Address | Oklahoma City, OK 73104-5417 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/03/2006 |
Last Update Date | 06/04/2020 |