| NPI | 1255533097 | 
|---|---|
| Former Legal Business Name | LAUREL A. RETAY DO | 
| Entity Type | Organization | 
| Authorized Contact | MARY ANN EPP Office Manager 480-633-1452  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine | 
| Enumeration Date | 2007-06-04 | 
| Last Update Date | 2020-08-22 |