Individual
CODY W SELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 GW LN, WAYNESVILLE, MO 65583-2339
(573) 774-2715
(573) 202-2410
Mailing address
11 ROLLA GARDENS DR, ROLLA, MO 65401-3950
(573) 201-9232
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2018024334
MO
Other
Enumeration date
06/18/2018
Last updated
01/27/2020
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