Provider Demographics
NPI:1366064230
Name:CULBREATH, COURTLIN DEAN (MD)
Entity type:Individual
Prefix:DR
First Name:COURTLIN
Middle Name:DEAN
Last Name:CULBREATH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1701 LACEY ST
Mailing Address - Street 2:
Mailing Address - City:CAPE GIRARDEAU
Mailing Address - State:MO
Mailing Address - Zip Code:63701-5230
Mailing Address - Country:US
Mailing Address - Phone:573-651-5562
Mailing Address - Fax:573-651-5868
Practice Address - Street 1:1701 LACEY ST
Practice Address - Street 2:
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63701-5230
Practice Address - Country:US
Practice Address - Phone:573-651-5562
Practice Address - Fax:573-651-5868
Is Sole Proprietor?:No
Enumeration Date:2020-05-13
Last Update Date:2025-07-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2025028366207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology