Individual
CODY WELCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(319) 671-2388
Mailing address
725 HAGEMANN AVE, BURLINGTON, IA 52601-3029
(319) 671-2388
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0102208726
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2023
Last updated
01/31/2025
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