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 |