Individual
DR. CODY JOSEPH ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4815 CLEVELAND BLVD, CALDWELL, ID 83605-6501
(208) 455-3545
(208) 454-9690
Mailing address
PO BOX 191050, BOISE, ID 83719-1050
(208) 955-6500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
O-1707
ID
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/06/2019
Last updated
09/02/2022
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