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Individual

CODY BIRCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1701 E COLTER ST UNIT 358, PHOENIX, AZ 85016-3385
(480) 495-9835
Mailing address
1701 E COLTER ST UNIT 358, PHOENIX, AZ 85016-3385
(480) 495-9835

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
TCRNA1167
AZ

Other

Enumeration date
09/17/2015
Last updated
09/17/2015
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