DR. Corey L Detlefs, MD

NPI #1700842457 in Phoenix, Arizona

Provider Information

NPI Number: 1700842457
Entity Type: Individual
Name: DR. Corey L Detlefs, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Apr 21, 2006
Last Updated: Nov 20, 2017

Practice Location

Address: 1441 N 12TH ST FL 1
City: Phoenix
State: Arizona
ZIP Code: 85006-2837
Phone: (602) 521-5968

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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