Martin, Cody Loomis
Martin, Cody Loomis is an individual health care provider with primary practice located at 1485 N Turquoise Dr Ste 200 , Flagstaff AZ 86001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Martin, Cody Loomis can be contacted via phone (928) 774-7757.Contact Information
Primary practice address
1485 N Turquoise Dr Ste 200
Flagstaff AZ 86001
Phone: (928) 774-7757
Fax: (928) 226-3071
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | 55377 | Arizona |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 55377 | Arizona |
Profile Details
| NPI number | 1609132174 |
|---|---|
| LBN Legal business name | Martin, Cody Loomis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2012 |
| Last updated | Aug 24th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609132174 | NPPES |
| Arizona | MEDICAID | 344235 |
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