Charles Cody Cull in Las Vegas - Podiatrist
Charles Cody Cull - NPI 1275619603
Charles Cody Cull is a Podiatrist in Las Vegas, Nevada. Charles Cody Cull practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Charles Cody Cull is 1275619603. The last update date is 2019-10-28.
Charles Cody Cull's current location address is 1717 Navajo Lake Way, Las Vegas, Nevada. You can contact this provider via phone number 7025965589 and fax number 7252054844. The mailing address for Charles Cody Cull is 1717 Navajo Lake Way, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Cody Cull |
|---|---|
| Address | 1717 Navajo Lake Way, Las Vegas, Nevada |
| Phone Number | 7025965589 |
| Fax Number | 7252054844 |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1275619603 |
|---|---|
| Provider Enumeration Date | 2006-10-27 |
| Last Updated Date | 2019-10-28 |
Provider Mailing Address Detail
| Address | 1717 Navajo Lake Way |
|---|---|
| City | Las Vegas |
| State | Nevada (NV) |
| Post Code | 891283283 |
| Phone Number | 7025965589 |
| Fax Number | 7252054844 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 1201 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100407460 | IN | -- | |
| 07000745C | IN | CONTROLLED SUBSTANCE # |
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What is the unique 10-digit identifier code issued to Charles Cody Cull by the Centers for Medicare & Medicaid Services?
The Charles Cody Cull has been assigned the NPI (National Provider Identifier) 1275619603 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Charles Cody Cull's physical address?
The Charles Cody Cull is physically located at 1717 Navajo Lake Way, in the city of Las Vegas, NV, with the postal code 891283283.
What is the Charles Cody Cull's specialty and taxonomy code?
The Charles Cody Cull's specialty is Podiatrist, and the corresponding taxonomy code is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1275619603 to Charles Cody Cull?
The Centers for Medicare & Medicaid Services assigned the 1275619603 to Charles Cody Cull on 2006-10-27.
When was the information regarding Charles Cody Cull most recently updated?
The details pertaining to the Charles Cody Cull, including its address, specialty, and other relevant information, were last refreshed on 2019-10-28.