Provider Demographics
NPI:1447408869
Name:CILIBERTO, HEATHER MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:MARIE
Last Name:CILIBERTO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:DEPT OF DERMATOLOGY
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-356-7546
Mailing Address - Fax:319-356-8317
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:DEPT OF DERMATOLOGY
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:319-356-7546
Practice Address - Fax:319-356-8317
Is Sole Proprietor?:No
Enumeration Date:2008-08-28
Last Update Date:2013-09-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO20120090151207N00000X
IA41154207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology