BOSCO CODY THEODORE

SALEM, VA
NPI1306422811
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: VA  0102207976)
Enumeration Date2021-03-23
Last Update Date2025-06-19
Business Address
BOSCO CODY THEODORE DO
1900 ELECTRIC RD
SALEM, VA 24153-7494
Phone number: 540-776-4000
Mailing Address
BOSCO CODY THEODORE DO
1900 ELECTRIC RD
SALEM, VA 24153-7494
Phone number: 540-776-4000