Individual
DR. PHILIP CODY AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4176 EAST HIGHWAY 54, LINN CREEK, MO 65052
(573) 346-6062
(573) 346-3459
Mailing address
PO BOX 875, LINN CREEK, MO 65052-0875
(573) 346-6062
(573) 346-3459
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2014019228
MO
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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