Individual
CODY J MCMILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1102 W 32ND ST, JOPLIN, MO 64804-3503
(417) 347-1111
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-1111
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2014019008
MO
Other
Enumeration date
07/01/2014
Last updated
04/20/2021
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