Individual
DR. CATHY JO CODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1021 E HIGHWAY 22, CENTRALIA, MO 65240-1183
(573) 682-5580
(573) 682-1539
Mailing address
670 MASON RIDGE CENTER DR, STE 300, SAINT LOUIS, MO 63141-8573
(573) 682-5580
(573) 682-1539
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2010020729
MO
207Q00000X
Family Medicine Physician
Primary
2012011167
MO
Other
Enumeration date
06/25/2010
Last updated
03/15/2016
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