Codie Wiley
NPI #1366941684 in Fort Eustis, Virginia
Provider Information
- NPI Number
- 1366941684
- Entity Type
- Individual
- Name
- Codie Wiley
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Feb 2, 2018
- Last Updated
- Jan 5, 2024
Practice Location
- Address
- 576 JEFFERSON AVE BLDG 576
- City
- Fort Eustis
- State
- Virginia
- ZIP Code
- 23604-1373
- Phone
- (757) 314-7500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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