Individual
MR. CODY BLAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5151 E BROADWAY BLVD STE 1600, TUCSON, AZ 85711-3777
(480) 787-5387
Mailing address
444 W ORANGE GROVE RD APT 321, TUCSON, AZ 85704-5646
(623) 606-7313
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/19/2021
Last updated
06/19/2021
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