MEDICARE: LAUREL RETAY DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	3218	AZ

General Provider Information

NPI Number	:	1154318665
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREL RETAY DO

Provider Business Mailing Address
First Line	:	105 S DELAWARE DR
Second Line	:	STE 2
City	:	APACHE JUNCTION
State	:	AZ
Zip	:	85120-6512
Country	:	US
Telephone Number	:	480-646-1001
Fax Number	:	480-646-1002

Provider Business Practice Location Address
First Line	:	2055 E SOUTHERN AVE
Second Line	:	SUITE D
City	:	TEMPE
State	:	AZ
Zip	:	85282-7507
Country	:	US
Telephone Number	:	480-345-7676
Fax Number	:	480-345-3560

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2005
Last Update Date	:	08/14/2018

Similar Medicare Providers

1114875614 — EMILY J DANIELSON FNP-BC
Practice Location Address:

2055 E SOUTHERN AVE STE A
TEMPE, AZ
85282-7507

Practice Phone: 602-282-0080
Practice Fax:

1003815705 — THOMAS GLENDON MOODY M.D.
Practice Location Address:

2055 E SOUTHERN AVE , SUITE A
TEMPE, AZ
85282-7507

Practice Phone: 480-491-7676
Practice Fax: 480-491-7555

1104813872 — DR. CHARLES REDMOND BREED MD
Practice Location Address:

2055 E SOUTHERN AVE , SUITE F
TEMPE, AZ
85282-7507

Practice Phone: 480-897-8484
Practice Fax: 480-897-8631

1508830431 — DR. REKHA SHAH MD
Practice Location Address:

2055 E SOUTHERN AVE STE B
TEMPE, AZ
85282-7507

Practice Phone: 480-704-3446
Practice Fax: 480-345-7248

1043287170 — DR. MONALIZA SETUDEHNIA MD
Practice Location Address:

2055 E SOUTHERN AVE , SUITE D
TEMPE, AZ
85282-7507

Practice Phone: 480-345-7676
Practice Fax:

1922119270 — MONALIZA SETUDEHNIA MD PLLC
Practice Location Address:

2055 E SOUTHERN AVE , SUITE D
TEMPE, AZ
85282-7507

Practice Phone: 480-345-7676
Practice Fax:

Directions to “ LAUREL RETAY DO” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.