Individual
DR. NEIL MODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5555 W THUNDERBIRD RD, GLENDALE, AZ 85306-4622
(602) 787-3410
(602) 865-2632
Mailing address
5555 W THUNDERBIRD RD, GLENDALE, AZ 85306-4622
(602) 787-3410
(602) 865-2632
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
44254
AZ
208M00000X
Hospitalist Physician
Primary
44254
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/19/2008
Last updated
10/31/2011
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