Individual
DR. COREY JAMES MAYBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 E THUNDERBIRD RD STE 1-3, PHOENIX, AZ 85022-5306
(602) 230-7373
Mailing address
3101 N CENTRAL AVE STE 550, PHOENIX, AZ 85012-2635
(602) 230-7373
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
24311
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025559200
—
NE
01
—
281662
MEDICARE
NE
Enumeration date
11/03/2006
Last updated
10/19/2023
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