Individual
LAUREL RETAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2055 E SOUTHERN AVE, SUITE D, TEMPE, AZ 85282-7507
(480) 345-7676
(480) 345-3560
Mailing address
105 S DELAWARE DR, STE 2, APACHE JUNCTION, AZ 85120-6512
(480) 646-1001
(480) 646-1002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3218
AZ
Other
Enumeration date
09/29/2005
Last updated
08/14/2018
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