Individual
BOSCO CODY THEODORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1900 ELECTRIC RD, SALEM, VA 24153-7494
(540) 776-4000
Mailing address
1900 ELECTRIC RD, SALEM, VA 24153-7494
(540) 776-4000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0102207976
VA
Other
Enumeration date
03/23/2021
Last updated
06/19/2025
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