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1396822482
COREY L DETLEFS MD
PHOENIX, AZ
NPI
1396822482
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Entity Type
Organization
Authorized Contact
COREY L DETLEFS
President
602-340-0201
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
(Licence: AZ 19043)
Enumeration Date
2006-11-01
Last Update Date
2007-12-06
Business Address
COREY L DETLEFS MD
2320 N 3RD ST
PHOENIX, AZ 85004-1303
Phone number: 602-340-0201
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Mailing Address
COREY L DETLEFS MD
2320 N 3RD ST
PHOENIX, AZ 85004-1303
Phone number: 602-340-0201
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