Individual
CODY M. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2017 W I 35 FRONTAGE RD STE 140, EDMOND, OK 73013-8555
(801) 585-7143
Mailing address
2017 W I 35 FRONTAGE RD STE 140, EDMOND, OK 73013-8555
(801) 585-7143
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
12404268-1205
UT
207Y00000X
Otolaryngology Physician
Primary
45786
OK
Other
Enumeration date
03/26/2020
Last updated
06/30/2025
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