Individual
CODY D HOBBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2710 S RIFE MEDICAL LANE, ROGERS, AR 72758-1452
(479) 338-8000
(479) 338-3056
Mailing address
PO BOX 507, LOWELL, AR 72745-0507
(913) 647-4100
(913) 647-4120
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R089298
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
215981
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85CA84
BCBS
AR
05
—
910099456
—
MO
Enumeration date
02/01/2021
Last updated
04/25/2024
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