Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | MD029193E | PA |
N | 2086S0105X | Surgery of the Hand | MD029193E | PA |
N | 2251H1200X | Hand | MD029193E | PA |
N | 225XH1200X | Occupational Therapist - Hand | MD029193E | PA |
NPI | 1194760736 |
---|---|
Provider Name | Dr. Randall W. Culp |
First Address | King Of Prussia, PA 19406-2802 |
Second Address | Plains, PA 18705-1035 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2006 |
Last Update Date | 29/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0571201000 | INDEPENDENCE BLUE CROSS (01) | PA |
200022056 | RAILROAD MEDICARE (01) | PA |
724778 | PENNSYLVA NIA BLUE SHIELD (01) | PA |
F29422 | (02) |