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Individual

CODY CHARLES BRECHTEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
500 W THOMAS RD, PHOENIX, AZ 85013-4224
(602) 395-0718
Mailing address
PO BOX 44010, PHOENIX, AZ 85064-4010
(602) 395-0718
(602) 277-8146

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
308264
LA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/25/2014
Last updated
06/18/2021
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