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Search › Arizona › 208600000X

Corey Detlefs, MD

NPI 1700842457 · on the registry since 2006

Practice

Address
1441 N 12th St Fl 1
Phoenix, AZ 85006
Phone
(602) 521-5968
Organisation at this address
Banner Good Samaritan
Banner Health Network
Banner Pharmacy Services Llc
Banner Pharmacy Services Llc
Banner Occupational Health Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address
211

Additional practice sites

  • 925 E Mcdowell Rd, Phoenix, AZ

Registry record

Primary taxonomy
208600000X
208600000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-11-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona