Individual
CODY TYSON WHATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104-5018
(405) 456-9439
(409) 205-3014
Mailing address
8725 ANAUM LN, YUKON, OK 73099-3868
(405) 532-2096
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/08/2020
Last updated
11/18/2020
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