COREY L DETLEFS

PHOENIX, AZ
NPI1700842457
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: AZ  19043)
Enumeration Date2006-04-21
Last Update Date2017-11-20
Business Address
DR. COREY L DETLEFS MD
1441 N 12TH ST FL 1
PHOENIX, AZ 85006-2837
Phone number: 602-521-5968
Mailing Address
DR. COREY L DETLEFS MD
1441 N 12TH ST FL 1
PHOENIX, AZ 85006-2837
Phone number: 602-521-5968
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