Individual
MR. TREIS R LUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
20950 N TATUM BLVD, SUITE 190, PHOENIX, AZ 85050-4200
(480) 776-0022
Mailing address
12366 W. MILTON DR., PEORIA, AZ 85383-7614
(928) 501-9581
(928) 501-9582
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
1261
AZ
Other
Enumeration date
05/04/2006
Last updated
10/16/2010
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