Individual
CODY DORNHECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6090
(314) 251-1601
Mailing address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6090
(314) 251-1601
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2019020158
MO
Other
Enumeration date
04/18/2016
Last updated
02/20/2025
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