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Organization

CODY SURGICAL ASSOCIATES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BONNIE KAY NEWTON (OFFICE MANAGER)
(307) 587-2139
Entity
Organization

Contact information

Practice address
424 YELLOWSTONE AVE STE 310, CODY, WY 82414-9310
(307) 899-3733
Mailing address
424 YELLOWSTONE AVE STE 310, CODY, WY 82414-9310

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
208600000X
Surgery Physician
261QM1300X
Multi-Specialty Clinic/Center

Other

Enumeration date
01/28/2020
Last updated
06/16/2020
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