Provider Demographics
NPI:1982624516
Name:CODY, CHRISTOPHER MARTIN (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:MARTIN
Last Name:CODY
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:724 MEDICAL CENTER DR E STE 101
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93611-6811
Mailing Address - Country:US
Mailing Address - Phone:559-323-1610
Mailing Address - Fax:559-323-1760
Practice Address - Street 1:724 MEDICAL CENTER DR E STE 101
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93611-6811
Practice Address - Country:US
Practice Address - Phone:559-323-1610
Practice Address - Fax:559-323-1760
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG58035207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine