Laurel A. Retay Do, Plc

NPI 1255533097 - Internal Medicine - 207R00000X

NPI Details
NPI 1255533097
Enumeration Date 06/04/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MARY ANN MARY
Position OFFICE MANAGER
Phone (480) 633-1452
Fax (480) 633-6375
Practice Location
6104 E BROWN RD
SUITE 101
MESA AZ, 85205-4953, US
Phone (480) 633-1452
Fax (480) 633-6375
Business Location
PO BOX 5787
APACHE JUNCTION AZ, 85278-5787, US
Phone (480) 633-1452
Fax (480) 633-6375
Toxanomy
Taxonomy Code 207R00000X
License State
License Number
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According to our database, Laurel A. Retay Do, Plc NPI is 1255533097, taxonomy code is 207R00000X Laurel A. Retay Do, Plc physically located at 6104 E Brown Rd, Mesa AZ, 85205-4953. NPI Number 1033115704 has the healthcare provider type.

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1255533097 NPI number is provided on an as is basis without warranty of any kind. 1255533097 is maintained by the National Plan & Provider Enumeration System. The contents of Laurel A. Retay Do, Plc are for informational purposes only.