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NPI Code Detail

MEDICARE: CODY UHL

MEDICARE: CODY UHL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation PhysicianPTA-014688AZ

General Provider Information

NPI Number : 1447076138
Entity Type Code : Individual
Provider Name (Legal Business Name) : CODY UHL
Provider Business Mailing Address
First Line : 202 N WHITING DR
Second Line :
City : PAYSON
State : AZ
Zip : 85541-4251
Country : US
Telephone Number : 623-243-3301
Fax Number :
Provider Business Practice Location Address
First Line : 4210 E BASELINE RD STE 106
Second Line :
City : MESA
State : AZ
Zip : 85206-4418
Country : US
Telephone Number : 480-503-2373
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/26/2024
Last Update Date : 11/26/2024

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Directions to “ CODY UHL ” Practice Location

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