Individual
DR. CYNTHIA JEAN MODNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2402 E SAN MIGUEL AVE, PHOENIX, AZ 85016-2815
(602) 224-5554
Mailing address
2402 E SAN MIGUEL AVE, PHOENIX, AZ 85016-2815
(602) 224-5554
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
22577
AZ
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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