Provider Demographics
NPI:1760472351
Name:CIBULKA, FRANK E (MD)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:E
Last Name:CIBULKA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4840 E INDIAN SCHOOL RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-5500
Mailing Address - Country:US
Mailing Address - Phone:602-508-2900
Mailing Address - Fax:602-952-9432
Practice Address - Street 1:4840 E INDIAN SCHOOL RD
Practice Address - Street 2:SUITE 100
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-5500
Practice Address - Country:US
Practice Address - Phone:602-508-2900
Practice Address - Fax:602-952-9432
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2010-10-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZAZ22921207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ70018Medicare PIN
AZG21188Medicare UPIN