DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: COREY L DETLEFS MD

MEDICARE: COREY L DETLEFS MD
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
1208600000XSurgery Physician19043AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396822482
Entity Type Code : Organization
Provider Name (Legal Business Name) : COREY L DETLEFS MD
Provider Business Mailing Address
First Line : 2320 N 3RD ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85004-1303
Country : US
Telephone Number : 602-340-0201
Fax Number : 602-441-5115
Provider Business Practice Location Address
First Line : 2320 N 3RD ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85004-1303
Country : US
Telephone Number : 602-340-0201
Fax Number : 602-441-5115
Authorized Official
Title or Position : PRESIDENT
Name : DR. COREY L DETLEFS
Credential : MD
Telephone Number : 602-340-0201
Provider Enumeration Date : 11/01/2006
Last Update Date : 12/06/2007

Similar Medicare Providers

1164450367 — RICHARD J HARDING MD
Practice Location Address:
2320 N 3RD ST
PHOENIX, AZ
85004-1303
Practice Phone: 602-340-0201
Practice Fax: 602-889-2926
1003836644 — CHARLES E CASTILLO MD
Practice Location Address:
2320 N 3RD ST
PHOENIX, AZ
85004-1303
Practice Phone: 602-340-0201
Practice Fax: 602-340-0367
1396843272 — ARIZONA ASSOCIATED SURGEONS PLLC
Practice Location Address:
2320 N 3RD ST
PHOENIX, AZ
85004-1303
Practice Phone: 602-258-9900
Practice Fax: 602-258-9904
1881875128 — MS. JONI MCINTYRE PA-C
Practice Location Address:
2320 N 3RD ST
PHOENIX, AZ
85004-1303
Practice Phone: 602-340-0201
Practice Fax: 602-340-0367
1417139031 — GOVIND ACHARYA
Practice Location Address:
2320 N 3RD ST
PHOENIX, AZ
85004-1303
Practice Phone: 602-266-2772
Practice Fax: 480-616-0603
1346880838 — ARIZONA ADVANCED SURGERY LLC
Practice Location Address:
2320 N 3RD ST
PHOENIX, AZ
85004-1303
Practice Phone: 602-258-9900
Practice Fax: 602-258-9904

Directions to “COREY L DETLEFS MD ” 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.