institution
Sumner R Cullom M D P A
Rural Health Clinic/Center in Osceola, Arkansas
NPI 1861609570

Sumner R Cullom M D P A is a Rural Health Clinic/Center based in Osceola, AR and is specialized in Rural Health. Sumner R Cullom M D P A practices in Osceola, AR. The NPI Number for Sumner R Cullom M D P A is 1861609570 and holds a License No. C4583 (Arkansas).

The current practice location address for Sumner R Cullom M D P A is 700 W Keiser Ave, Osceola, AR and can be reached out via phone at 870-563-6512 and via fax at 870-563-5013.

Location: 700 W Keiser Ave, Osceola, AR, 72370-3500
institution
Provider Profile Details
NPI Number
1861609570
Provider Name
Sumner R Cullom M D P A
Credential
Provider Entity Type
Organization
Address
700 W Keiser Ave, Osceola, AR, 72370-3500
Phone Number
870-563-6512
Fax Number
870-563-5013
Provider Enumeration Date
05/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5C697 01 MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
700 W Keiser Ave
City
State
Zip
72370-3506
Phone Number
870-563-6512
Fax Number
870-563-5013
person
Provider Business Mailing Address Details
Address
700 W Keiser Ave
City
State
Zip
72370-3506
Phone Number
870-563-6512
Fax Number
870-563-5013
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
C4583 (Arkansas)
Definition
Definition to come...
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