Cody Scott

NPI #1720530330 in Ada, Oklahoma

Provider Information

NPI Number: 1720530330
Entity Type: Individual
Name: Cody Scott
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Oct 30, 2016
Last Updated: Oct 30, 2016

Practice Location

Address: 111 E 12TH ST
City: Ada
State: Oklahoma
ZIP Code: 74820-6501
Phone: (580) 436-2690

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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