Kody Medical Pc

LBN: Kody Medical Pc
Kody Medical Pc is an health care organization with primary practice located at 11627 N 12Th Pl , Phoenix AZ 85020-1222. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Kody Medical Pc can be contacted via phone (602) 799-2133, or through Mathurin, Mark Alexander via phone (602) 799-2133.

Contact Information

Primary practice address
11627 N 12Th Pl Phoenix AZ 85020-1222
Phone: (602) 799-2133
Fax: (602) 997-1418
Website:
Map and Directions
Authorized official contact:
Name: Mathurin, Mark Alexander Doctor of Medicine (MD)
Phone: (602) 799-2133

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 23700 Arizona

Profile Details

NPI number 1033482435
LBN Legal business name Kody Medical Pc
DBA Doing business as
Authorized official Mathurin, Mark Alexander Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2012
Last updated Nov 2nd, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033482435 NPPES
Arizona Other 23700 AZ LICENSE

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