Most Relevant Information
Provider Data
| NPI Number: | 1003590498 |
| Provider Name: | BRADLEY HOWELL MCCULLY CPO |
| Entity Type: | Individual |
| Taxonomy Code: | 224P00000X |
| Specialty: | Prosthetist |
| License Number: | C52669 |
Most Important Dates
| Enumeration Date: | 06/14/2023 |
| Last Updated: | 06/14/2023 |
Provider Practice Location
800 HOSPITAL DRIVE
ATTN: PROSTHETICS
COLUMBIA
MO
65201
Practice Location Phone/Fax
| Phone: | 5738146000 |
| Fax: |
Provider Mailing Location
800 HOSPITAL DRIVE
ATTN: PROSTHETICS
COLUMBIA
MO
65201
Provider Mailing Phone/Fax
| Phone: | 5738146000 |
| Fax: |