Individual
MR. CODY HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5204 N BELT HWY, SAINT JOSEPH, MO 64506-1211
(816) 383-8180
(816) 233-3983
Mailing address
5204 N BELT HWY, SAINT JOSEPH, MO 64506-1211
(816) 838-8180
(816) 233-3983
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2019011259
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2015
Last updated
10/25/2019
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