# DR. CODY GUGGENMOS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1396242731
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0063615 | CO | — |
| 207Q00000X | Family Medicine Physician | 010719 | AZ | Yes |
| 207Q00000X | Family Medicine Physician | 05-45085 | KS | — |

## Other

- **Enumeration date:** 04/11/2018
- **Last updated:** 12/06/2024