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Jason Mcculley, H.I.S

NPI 1255574232 · on the registry since 2009 · sole proprietor

Practice

Address
3908 S Walnut St
Suite B
Bloomington, IN 47401
Phone
(812) 329-0242

Registry record

Primary taxonomy
237700000X
237700000X
Also registered as
235500000X
235500000X
Licence states on file
IN, AR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-03-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana