Individual
DR. CODY GUGGENMOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1610 W GLENDALE AVE, PHOENIX, AZ 85021-8948
(877) 279-5960
(877) 384-3106
Mailing address
8911 N CAPITAL OF TEXAS HWY STE 1110, AUSTIN, TX 78759-7203
(772) 795-9608
(877) 384-3106
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0063615
CO
207Q00000X
Family Medicine Physician
Primary
010719
AZ
207Q00000X
Family Medicine Physician
05-45085
KS
Other
Enumeration date
04/11/2018
Last updated
12/06/2024
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