Individual
CODY ALAN DUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4502 E 41ST ST, TULSA, OK 74135-2536
(918) 579-2367
Mailing address
1145 S UTICA AVE, TULSA, OK 74104-4000
(918) 579-2368
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
33948
OK
Other
Enumeration date
04/23/2018
Last updated
06/13/2023
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