Individual provider · NPI-1

Courtney Spence, DO

Internal Medicine · Cody, WY

NPI number1518239391
StatusActive
Last updated in NPPESOct 5, 2020

Details

NPI
1518239391
Entity type
Individual (NPI-1)
Name
Courtney Spence
Credential
DO
Sex
Female
Sole proprietor
No
Enumeration date
Feb 8, 2012
Certification date
Oct 5, 2020
Last updated
Oct 5, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine10305AWYYes
208M00000X Hospitalist20A12564CA

Practice location

424 Yellowstone Ave
Suite 230
Cody, WY 82414-9309

Phone 307-578-2975

Mailing address

424 Yellowstone Ave
Suite 230
Cody, WY 82414-9309

Phone 307-578-2975

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