Individual
WILLIAM CODY ALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5758005-1206
UT
363AS0400X
Surgical Physician Assistant
Primary
5758005-1206
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/15/2020
Last updated
02/09/2022
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