Individual
CODY BOONE MCLEOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5080 N 40TH ST STE 103, PHOENIX, AZ 85018-2158
(602) 952-8111
Mailing address
4642 N 31ST ST, PHOENIX, AZ 85016-5013
(870) 403-7454
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
69200
AZ
207X00000X
Orthopaedic Surgery Physician
E13754
AR
Other
Enumeration date
03/30/2018
Last updated
04/18/2024
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