Individual
CODY JOSEPH VANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
660 GOLDEN RIDGE RD STE 250, GOLDEN, CO 80401-9541
(303) 233-1223
Mailing address
5200 S ULSTER ST APT 1314, GREENWOOD VILLAGE, CO 80111-2864
(303) 501-4022
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0006315
CO
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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