DR. Kody Duane Dormire, DO

NPI #1083241293 in Peoria, Illinois

Provider Information

NPI Number
1083241293
Entity Type
Individual
Name
DR. Kody Duane Dormire, DO
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Internal Medicine
Credential
DO
Enumeration Date
Mar 26, 2020
Last Updated
Oct 3, 2024

Practice Location

Address
530 NE GLEN OAK AVE
City
Peoria
ZIP Code
61637-0001
Phone
(309) 655-4940

Specialties & Taxonomy Codes

Specialty
Pediatrics
Internal Medicine

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