Individual
DR. CHARLES CODY CULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1717 NAVAJO LAKE WAY, LAS VEGAS, NV 89128-3283
(702) 596-5589
(725) 205-4844
Mailing address
1717 NAVAJO LAKE WAY, LAS VEGAS, NV 89128-3283
(702) 596-5589
(725) 205-4844
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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