COREY L DETLEFS MD

PHOENIX, AZ
NPI1396822482
Entity TypeOrganization
Authorized ContactCOREY L DETLEFS
President
602-340-0201
Organization Subpart ?No
Primary Taxonomy208600000X Surgery
(Licence: AZ  19043)
Enumeration Date2006-11-01
Last Update Date2007-12-06
Business Address
COREY L DETLEFS MD
2320 N 3RD ST
PHOENIX, AZ 85004-1303
Phone number: 602-340-0201
Mailing Address
COREY L DETLEFS MD
2320 N 3RD ST
PHOENIX, AZ 85004-1303
Phone number: 602-340-0201