Provider Demographics
NPI:1326508284
Name:CULP, ARIAN MARCUS (MD)
Entity Type:Individual
Prefix:
First Name:ARIAN
Middle Name:MARCUS
Last Name:CULP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 NW EXECUTIVE WAY
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64063-1841
Mailing Address - Country:US
Mailing Address - Phone:318-550-1842
Mailing Address - Fax:
Practice Address - Street 1:216 NW EXECUTIVE WAY
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64063-1841
Practice Address - Country:US
Practice Address - Phone:318-550-1824
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-25
Last Update Date:2024-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1326508284207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine