Individual
CODY KEITH HISLOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
COMDT CG-1122, 2100 2ND ST SW, SUITE 5314, WASHINGTON, DC 20593-0001
(202) 475-5182
(202) 267-4685
Mailing address
2100 2ND ST SW, SUITE 5314 COMDT (CG-1122), WASHINGTON, DC 20593
(202) 475-5182
(202) 267-4685
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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