Individual
DR. CODY ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(510) 402-8559
Mailing address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OT015619
PA
Other
Enumeration date
11/16/2013
Last updated
04/30/2014
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