Individual
MR. CODY GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
318 N 18TH DR, PHOENIX, AZ 85007-2432
(564) 205-0930
Mailing address
318 N 18TH DR, PHOENIX, AZ 85007-2432
(564) 205-0930
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
AZ
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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