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Mr. Cody Donald Sponholz
Surgical Physician Assistant in Geneva, New York
NPI 1134795685

Cody Donald Sponholz is a Surgical Physician Assistant based in Rochester, NY and is specialized in Surgical. Cody Donald Sponholz practices in Geneva, NY. The NPI Number for Cody Donald Sponholz is 1134795685 and holds a License No. 027251 (New York).

The current practice location address for Cody Donald Sponholz is 875 Pre Emption Rd, Geneva, NY and can be reached out via phone at 315-789-5061.

Location: 875 Pre Emption Rd, Geneva, NY, 14617-5504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134795685
Provider Name
Cody Donald Sponholz
Credential
Provider Entity Type
Individual
Gender
Male
Address
875 Pre Emption Rd, Geneva, NY, 14617-5504
Phone Number
315-789-5061
Fax Number
Provider Enumeration Date
06/03/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
875 Pre Emption Rd
City
Geneva
State
New York
Zip
14456-2042
Phone Number
315-789-5061
Fax Number
person
Provider Business Mailing Address Details
Address
875 Pre Emption Rd
City
Geneva
State
New York
Zip
14456-2042
Phone Number
315-789-5061
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
027251 (New York)
Definition
Definition to come...
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