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Individual

MICHAEL C CODY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2132 NORTH 1700 WEST, SUITE #200, LAYTON, UT 84041-1130
(801) 776-0174
(801) 825-3904
Mailing address
520 MEDICAL DR, SUITE #310, BOUNTIFUL, UT 84010-4968
(801) 397-3000
(801) 397-0455

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
327424-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1477643179
GROUP NPI
UT
Enumeration date
09/14/2005
Last updated
09/26/2007
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