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Individual

CODY TYLER DELANEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1711 27TH ST STE 206, PORTSMOUTH, OH 45662-2669
(740) 356-8772
(740) 356-1264
Mailing address
1735 27TH ST STE B06, PORTSMOUTH, OH 45662-2681
(740) 356-8681
(740) 356-1256

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
50.005825RX
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0347385
OH
05
7100590800
KY
Enumeration date
12/28/2018
Last updated
03/17/2025
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