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Individual
DR. CHARLES CODY CULL
Active
Individual
DR. CHARLES CODY CULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
07000745A
IN
213E00000X
Podiatrist
Primary
1201
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07000745C
CONTROLLED SUBSTANCE #
IN
05
—
100407460
—
IN
Enumeration date
10/27/2006
Last updated
10/28/2019
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