NPI 1275619603 · live from the CMS NPI Registry
Charles Cody Cull, DPM
Podiatrist in Las Vegas, NV. National Provider Identifier 1275619603, active.
NPI record
| NPI | 1275619603 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 1717 Navajo Lake Way, Las Vegas, NV 89128 |
| Practice phone | 702-596-5589 |
| Enumerated | October 27, 2006 |
| Last updated | October 28, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | 1201 (NV) |
| Podiatrist | 213E00000X | 07000745A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.