KODY MEDICAL PC
Osteopathic Medicine at 12 Pl, Phoenix, AZ

License number
Arizona 23700
Category
Osteopathic Medicine
Type
General Practice
Owner
Name: DR. MARK ALEXANDER MATHURIN MD
Title: CEO
Phone: (602) 799-2133
Address
Address
11627 N 12Th Pl, Phoenix, AZ 85020
National Provider ID: 1033482435
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about KODY MEDICAL PC at bizstanding.com

KODY MEDICAL, PC

11627 N 12 Pl, Phoenix, AZ 85020

Industry:
Health/Allied Services
Registration:
Feb 20, 2003
State ID:
-1066034-5
Expiration:
PERPETUAL
President/ceo, Chief Executive Officer, Principal:
Mark A Mathurin (President/ceo, Chief Executive Officer, Principal), 11627 N 12 Pl, Phoenix, AZ 85020 (Physical)
Agent:
Ws Statutory Agent Services Ll,7033 E Greenway Pkwy STE 200, Scottsdale, AZ 85254 (Physical)

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