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Individual

CODY LIN MILLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-1000
(573) 882-4141
Mailing address
PO BOX 7411626, CHICAGO, IL 60674-5626

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2013026380
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
2022021644
MO

Other

Enumeration date
03/30/2022
Last updated
07/08/2025
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