Cody Clinic

NPI #1104422237 in Cody, Wyoming

Provider Information

NPI Number: 1104422237
Entity Type: Organization
Organization Name: Cody Clinic
Primary Specialty: Internal Medicine
Enumeration Date: Dec 4, 2020
Last Updated: Feb 17, 2021

Practice Location

Address: 2107 SHERIDAN AVENUE
City: Cody
State: Wyoming
ZIP Code: 82414
Phone: (307) 586-5303

Authorized Official

Name: JUDD L LAROWE, MD
Title: PRESIDENT
Phone: (307) 586-5303

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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