Individual
CODY CHANCELLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
4100 W 3RD ST RM 7C-139B, DAYTON, OH 45428-9000
(334) 470-1077
Mailing address
4100 W 3RD ST, DAYTON, OH 45428-9000
Taxonomy
Speciality
Code
Description
License number
State
2279P1006X
Pulmonary Function Technologist Registered Respiratory Therapist
Primary
RCP.17571
OH
Other
Enumeration date
09/12/2025
Last updated
09/12/2025
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