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Organization
CODY SURGICAL ASSOCIATES LLC
Active
Organization
CODY SURGICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE KAY NEWTON (OFFICE MANAGER)
(307) 587-2139
Entity
Organization
Contact information
Practice address
424 YELLOWSTONE AVE STE 310, CODY, WY 82414-9310
(307) 899-3733
Mailing address
424 YELLOWSTONE AVE STE 310, CODY, WY 82414-9310
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
208600000X
Surgery Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
01/28/2020
Last updated
06/16/2020
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