Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Corey L Detlefs, MD

Individual provider Surgery Physician · NPI 1700842457

Dr. Corey L Detlefs, MD is a Surgery Physician in Phoenix, Arizona. Works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1441 N 12th St Fl 1
Phoenix, AZ 85006-2837
Phone: (602) 521-5968
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 925 E McDowell Rd, Phoenix, AZ 85006-2502 — (602) 239-5895

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 19043 (AZ)

Record details

NPI number1700842457
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 21, 2006
Last updated in NPPESNovember 20, 2017

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