Individual
STEPHANIE CODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2601 KAVANAUGH BLVD STE 6, LITTLE ROCK, AR 72205-3991
(501) 663-4357
(501) 663-3357
Mailing address
11001 EXECUTIVE CENTER DR STE 200, LITTLE ROCK, AR 72211-4393
(501) 812-7800
(501) 812-7777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-2687
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141533001
—
AR
Enumeration date
09/21/2006
Last updated
07/21/2022
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