Provider Demographics
NPI:1679214340
Name:CULP, SYDNEY MARIE
Entity Type:Individual
Prefix:
First Name:SYDNEY
Middle Name:MARIE
Last Name:CULP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DANGER
Other - Middle Name:SHAW
Other - Last Name:VALENTINE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:6316 N MERIDIAN AVE APT 103
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-1126
Mailing Address - Country:US
Mailing Address - Phone:405-209-7635
Mailing Address - Fax:
Practice Address - Street 1:2000 N CLASSEN BLVD STE 2600
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73106-6027
Practice Address - Country:US
Practice Address - Phone:405-248-9007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist