Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 35.128544 | OH |
NPI | 1033382411 |
---|---|
Provider Name | Derek Cody |
First Address | Akron, OH 44333 |
Second Address | Akron, OH 44333 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2008 |
Last Update Date | 13/12/2016 |