Provider Demographics
NPI:1184339640
Name:CULLER, CHRISTOPHER SHAWN
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:SHAWN
Last Name:CULLER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7004 9TH AVENUE DR NW
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34209-1208
Mailing Address - Country:US
Mailing Address - Phone:330-754-5342
Mailing Address - Fax:
Practice Address - Street 1:7004 9TH AVENUE DR NW
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34209-1208
Practice Address - Country:US
Practice Address - Phone:330-754-5342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-19
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471M1202XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistMagnetic Resonance Imaging