DR. Cody Blackwelder, MD

NPI #1548824873 in Ruston, Louisiana

Provider Information

NPI Number: 1548824873
Entity Type: Individual
Name: DR. Cody Blackwelder, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Apr 22, 2019
Last Updated: Oct 10, 2024

Practice Location

Address: 1200 S FARMERVILLE ST
City: Ruston
State: Louisiana
ZIP Code: 71270-5941
Phone: (318) 255-3690

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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Organizations

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