Individual
CODY J MINOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3300 NW EXPRESSWAY, OKLAHOMA CITY, OK 73112-4418
(405) 949-3591
Mailing address
9977 BIRKENHEAD CT, YUKON, OK 73099-7945
(405) 727-5123
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
205741
OK
Other
Enumeration date
10/13/2023
Last updated
10/13/2023
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