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Individual

CODY V SCOVEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
9040A JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-1110
Mailing address
514 N I ST, TACOMA, WA 98403-2023
(860) 316-7212

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP61328552
WA

Other

Enumeration date
08/08/2022
Last updated
07/31/2025
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