Most Relevant Information
Provider Data
| NPI Number: | 1003540519 |
| Provider Name: | CODY MICHAEL GHENTS D.C. |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | 9193 |
Most Important Dates
| Enumeration Date: | 07/11/2022 |
| Last Updated: | 02/22/2023 |
Provider Practice Location
24700 N 67TH AVE
PEORIA
AZ
853834250
Practice Location Phone/Fax
| Phone: | 6232593458 |
| Fax: |
Provider Mailing Location
24700 N 67TH AVE
PEORIA
AZ
853834250
Provider Mailing Phone/Fax
| Phone: | 6232593458 |
| Fax: |