Individual
CODY MICHAEL-TY DECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1801 16TH ST, GREELEY, CO 80631-5199
(970) 810-6087
Mailing address
103 BLUEBELL CT, WIGGINS, CO 80654-7923
(217) 304-1492
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0072886
CO
Other
Enumeration date
04/14/2021
Last updated
09/06/2024
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