BRIAN THOMAS MCCULLOUGH

PHOENIX, AZ
NPI1780208959
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ  241813)
Enumeration Date2020-06-03
Last Update Date2020-06-05
Business Address
Mr. BRIAN THOMAS MCCULLOUGH PMHNP
34406 N. 27TH DRIVE SUITE 140 OFFICE 103
PHOENIX, AZ 85085-6082
Phone number: 623-688-1508
Mailing Address
Mr. BRIAN THOMAS MCCULLOUGH PMHNP
34406 N. 27TH DRIVE SUITE 140 OFFICE 103
PHOENIX, AZ 85085-6082
Phone number: 623-688-1508
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