NPI
Cody Sean Deforest
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2023-06-27
- Last updated
- 2023-06-27
Specialties
Licenses
- License ID
- P10698
Location
- Practice location
- 309 Main St
- City
- Salmon ID
- Postal code
- 83467-4114
- Phone
- (208) 742-3784
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Salmon, ID. 163 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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