Individual
CODY GARGAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
1600 W CHANDLER BLVD STE 100, CHANDLER, AZ 85224-6100
(480) 719-7400
Mailing address
2727 E THOMAS RD UNIT 11, PHOENIX, AZ 85016-8229
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
246898
AZ
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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