institution
Kody Medical Pc
General Practice Physician in Phoenix, Arizona
NPI 1033482435

Kody Medical Pc is a General Practice Physician based in Phoenix, AZ. Kody Medical Pc practices in Phoenix, AZ. The NPI Number for Kody Medical Pc is 1033482435 and holds a License No. 23700 (Arizona).

The current practice location address for Kody Medical Pc is 11627 N 12Th Pl, Phoenix, AZ and can be reached out via phone at 602-799-2133 and via fax at 602-997-1418.

Location: 11627 N 12Th Pl, Phoenix, AZ, 85020-1222
institution
Provider Profile Details
NPI Number
1033482435
Provider Name
Kody Medical Pc
Credential
Provider Entity Type
Organization
Address
11627 N 12Th Pl, Phoenix, AZ, 85020-1222
Phone Number
602-799-2133
Fax Number
602-997-1418
Provider Enumeration Date
02/15/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
23700 01 AZ AZ LICENSE
institution
Provider Business Practice Location Address Details
Address
11627 N 12Th Pl
City
State
Zip
85020-1222
Phone Number
602-799-2133
Fax Number
602-997-1418
person
Provider Business Mailing Address Details
Address
11627 N 12Th Pl
City
State
Zip
85020-1222
Phone Number
602-799-2133
Fax Number
602-997-1418
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
23700 (Arizona)
Definition
Definition to come...
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