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Individual

DR. MICHAEL JEROME CORLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
645 E MISSOURI AVE STE 300, PHOENIX, AZ 85012-1351
(602) 262-8900
Mailing address
412 OLIVE AVE # 564, HUNTINGTON BEACH, CA 92648-5142
(714) 536-6715
(714) 536-6795

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
47786
AZ
207L00000X
Anesthesiology Physician
A104108
CA

Other

Enumeration date
05/30/2008
Last updated
12/16/2019
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