MR. Cody Rideout, PA-C

NPI #1124557913 in Gilford, New Hampshire

Provider Information

NPI Number: 1124557913
Entity Type: Individual
Name: MR. Cody Rideout, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 6, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 14 MAPLE ST
City: Gilford
State: New Hampshire
ZIP Code: 03249-6580
Phone: (603) 528-9100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Surgical — Surgical	363AS0400X
Physician Assistant	363A00000X	Primary

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