Individual
DR. EDGARDO LAUREL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2545 E THOMAS RD, SUITE 120, PHOENIX, AZ 85016-7969
(602) 419-3637
(602) 595-1528
Mailing address
3333 E CAMELBACK RD, SUITE 180, PHOENIX, AZ 85018-2322
(602) 997-0484
(602) 224-3358
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
21887
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151605
—
AZ
Enumeration date
05/24/2005
Last updated
06/01/2016
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