CODY RANDEL

PHOENIX, AZ
NPI1033588330
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2015-09-17
Last Update Date2015-09-17
Business Address
-- CODY RANDEL PA-C
3030 N CENTRAL AVE 1407
PHOENIX, AZ 85012-2707
Phone number: 602-253-5100
Mailing Address
-- CODY RANDEL PA-C
7557 N DREAMY DRAW DR UNIT 256
PHOENIX, AZ 85020-4651
Phone number: 773-663-5747