Individual
DR. CODY LEE FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1075 NICHOLS RD, SUITE 1-2, OSAGE BEACH, MO 65065-3093
(573) 302-2828
(573) 302-2830
Mailing address
PO BOX 1500, OSAGE BEACH, MO 65065-1500
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2011001647
MO
213ES0103X
Foot & Ankle Surgery Podiatrist
5901002257
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366768939
—
MO
Enumeration date
04/08/2010
Last updated
04/20/2012
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