Individual
DR. KAREL A DELEEUW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1441 N 12TH ST FL 3, PHOENIX, AZ 85006-2837
(602) 521-5977
(602) 521-5151
Mailing address
34522 N SCOTTSDALE RD # 404, SCOTTSDALE, AZ 85266-1224
(480) 495-3356
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2332
ND
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
15017
ND
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
32072
AZ
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
D06081
AZ
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
PT15017
ND
207Y00000X
Otolaryngology Physician
32072
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
816936
—
AZ
01
—
86080015085259C381
TRIWEST
AZ
05
—
MRM5813
—
MO
01
—
P00150696
RAILROAD MEDICARE
AZ
Enumeration date
12/14/2005
Last updated
06/09/2025
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