Individual
CODY ALLAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1907 LEBANON CHURCH RD STE 101, WEST MIFFLIN, PA 15122-2452
(412) 650-9700
Mailing address
1907 LEBANON CHURCH RD STE 101, WEST MIFFLIN, PA 15122-2452
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OT019045
PA
390200000X
Student in an Organized Health Care Education/Training Program
OT019045
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/18/2019
Last updated
06/13/2022
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