MEDICARE: DR. WALTER CULTON HULON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083X0100X	Occupational Medicine Physician	35-060034	OH

General Provider Information

NPI Number	:	1538594346
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WALTER CULTON HULON M.D.

Provider Business Mailing Address
First Line	:	2736 GRANDIN RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45208-3415
Country	:	US
Telephone Number	:	513-659-2725
Fax Number	:	513-871-8010

Provider Business Practice Location Address
First Line	:	2736 GRANDIN RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45208-3415
Country	:	US
Telephone Number	:	513-659-2725
Fax Number	:	513-871-8010

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/11/2013
Last Update Date	:	09/11/2013

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