LOGAN KODYSZ

PHOENIX, AZ
NPI1215697941
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ  268124)
Enumeration Date2021-12-21
Last Update Date2023-10-04
Business Address
LOGAN KODYSZ NP
2601 N 3RD ST STE 205
PHOENIX, AZ 85004-1145
Phone number: 602-492-2121
Mailing Address
LOGAN KODYSZ NP
2601 N 3RD ST STE 205
PHOENIX, AZ 85004-1145
Phone number: 602-492-2121
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