COREY L DETLEFS MD - NPI 1396822482 - Surgery in Phoenix, AZ

Q: What is Corey L Detlefs MD's NPI number?

The NPI number for Corey L Detlefs MD is 1396822482. It was assigned to this organization in the NPPES registry on November 1, 2006.

Q: What is Corey L Detlefs MD's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

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About Corey L Detlefs Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COREY L DETLEFS MD (NPI 1396822482) is a healthcare organization registered as a surgery in Phoenix, Arizona and active in the NPI registry since November 2006. The organization lists Corey L Detlefs, President, as its authorized official.

NPPES Registry Identity

NPI1396822482

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameCOREY L DETLEFS MD

Location Address2320 N 3RD STPhoenix, AZ 85004-1303

Mailing Address2320 N 3rd StPhoenix, AZ 85004-1303 · (602) 340-0201 · Fax (602) 441-5115

Phone(602) 340-0201

Fax(602) 441-5115

Organization SubpartNo

Authorized OfficialCorey L DetlefsPresident · (602) 340-0201

Enumeration DateNovember 1, 2006

Last NPPES UpdateDecember 6, 2007

✔ NPI 1396822482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in AZ · 19043

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

2320 N 3RD ST, Phoenix, AZ 85004

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Other Identifiers 3

Medicare PINZ111748AZ

Medicaid140179AZ

Medicare UPINE28364AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLES E CASTILLO MD

Surgery