Provider Demographics
NPI:1750590246
Name:CIBULA, CHARLES D (DPM)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:D
Last Name:CIBULA
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Gender:M
Credentials:DPM
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Mailing Address - Street 1:4508 CHADWICK RD
Mailing Address - Street 2:CEDAR VALLEY PODIATRY PC
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613-7958
Mailing Address - Country:US
Mailing Address - Phone:319-277-4508
Mailing Address - Fax:319-277-8908
Practice Address - Street 1:4508 CHADWICK RD
Practice Address - Street 2:CEDAR VALLEY PODIATRY PC
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50613-7958
Practice Address - Country:US
Practice Address - Phone:319-277-4508
Practice Address - Fax:319-277-8908
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2010-07-29
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Provider Licenses
StateLicense IDTaxonomies
MIBM25495090685213ES0103X
IA000836213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery