Organization
CODY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDD L LAROWE MD (PRESIDENT)
(307) 586-5303
Entity
Organization
Contact information
Practice address
2107 SHERIDAN AVENUE, CODY, WY 82414
(307) 586-5303
Mailing address
PO BOX 727, CODY, WY 82414-0727
(307) 586-5303
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/04/2020
Last updated
02/17/2021
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