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Individual

DR. CODY M HOOVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
16515 MERIDIAN E STE 105B, PUYALLUP, WA 98375-6253
(253) 987-9111
(844) 827-2764
Mailing address
16515 MERIDIAN E STE 105B, PUYALLUP, WA 98375-6253
(253) 987-9111
(844) 827-2764

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
PO60211118
WA
213EP1101X
Primary Podiatric Medicine Podiatrist
PO60211118
WA
213ER0200X
Radiology Podiatrist
PO60211118
WA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO60211118
WA
213ES0103X
Foot & Ankle Surgery Podiatrist
SC006067
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2090174
WA
Enumeration date
09/11/2008
Last updated
04/02/2024
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