KODY MEDICAL PC

PHOENIX, AZ
NPI1033482435
Entity TypeOrganization
Authorized ContactMARK ALEXANDER MATHURIN
CEO
602-799-2133
Organization Subpart ?No
Primary Taxonomy208D00000X General Practice
(Licence: AZ  23700)
Enumeration Date2012-02-15
Last Update Date2012-11-02
Business Address
KODY MEDICAL PC
11627 N 12TH PL
PHOENIX, AZ 85020-1222
Phone number: 602-799-2133
Mailing Address
KODY MEDICAL PC
11627 N 12TH PL
PHOENIX, AZ 85020-1222
Phone number: 602-799-2133