Individual
CODY POPLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
5225 23RD AVE S, FARGO, ND 58104-7927
(701) 417-2000
Mailing address
900 SPOTSWOOD AVE APT 5B, NORFOLK, VA 23517-1739
(980) 521-0900
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
128430
VA
207L00000X
Anesthesiology Physician
Primary
R49175
ND
Other
Enumeration date
05/18/2020
Last updated
08/05/2020
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