Individual
LAURA ADLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12635 N 42ND ST, PHOENIX, AZ 85032-7601
(602) 494-5500
Mailing address
12635 N 42ND ST, PHOENIX, AZ 85032-7601
(602) 494-5500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20279
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171348
—
AZ
Enumeration date
01/12/2006
Last updated
07/08/2007
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