Individual
CODY RICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7301 S CIMARRON RD, MUSTANG, OK 73064-9362
(405) 250-4110
Mailing address
7301 S CIMARRON RD, MUSTANG, OK 73064-9362
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5802
OK
Other
Enumeration date
04/27/2014
Last updated
12/16/2015
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