Individual
CODY LEE THORSTENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 N 12TH ST, SUITE 301, PHOENIX, AZ 85006-2848
(602) 839-6968
(602) 839-4144
Mailing address
1300 N 12TH ST, SUITE 301, PHOENIX, AZ 85006-2848
(602) 839-6968
(602) 839-4144
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
45545
AZ
Other
Enumeration date
04/20/2009
Last updated
07/16/2012
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