Corey L Detlefs MD
Corey L Detlefs MD is a Surgery Physician in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2006.
- Licensed in
- AZ
- In the registry since
- 2006
Practice location Address checks out
2320 N 3rd StPhoenix, AZ 85004-1303
Phone: (602) 340-0201
Fax: (602) 441-5115
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Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence 19043 (AZ) |
|---|
Record details
| NPI number | 1396822482 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Corey Detlefs — President · (602) 340-0201 |
| NPI enumerated | November 1, 2006 |
| Last updated in NPPES | December 6, 2007 |
| Mailing address | 2320 N 3rd St, Phoenix, AZ 85004-1303 |
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