Individual provider · Type 1 NPI
Maryk Cullen, MARYK CULLEN, MD
Specialist · St. Louis, MO
NPI number
1902011703
Active
Practice location
2431 N Grand Blvd
St. Louis, MO 63106-1018
Fax (314) 533-5430
Mailing address
6315 Pershing Ave
University City, MO 63130-4704
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 106422 (MO) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1902011703
Maryk Cullen, MARYK CULLEN, MD's National Provider Identifier is 1902011703, issued on May 14, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in St. Louis, MO. The record was last updated on Jul 9, 2007.