OrganizationActive
Corey L Detlefs MD
NPI 1396822482 · Surgery Physician · Phoenix, AZ
Corey L Detlefs MD is a Surgery Physician organization in Phoenix, AZ (NPI 1396822482).
Provider details
- NPI number
- 1396822482
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Corey Detlefs, President(602) 340-0201
- License
- 19043 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2320 N 3rd St
Phoenix, AZ 85004-1303
Phone: (602) 340-0201
Fax: (602) 441-5115
Street-level locationGet directions
Mailing address
2320 N 3rd St
Phoenix, AZ 85004-1303
Registry dates
- Enumerated
- 2006-11-01
- Last updated
- 2007-12-06
Frequently asked questions
- What is Corey L Detlefs MD's NPI number?
- Corey L Detlefs MD's National Provider Identifier (NPI) is 1396822482, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Corey L Detlefs MD?
- Corey L Detlefs MD is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Corey L Detlefs MD located?
- Corey L Detlefs MD's practice location on file with NPPES is 2320 N 3rd St, Phoenix, AZ 85004-1303.
- What is Corey L Detlefs MD's phone number?
- The practice phone number listed in the NPPES registry for Corey L Detlefs MD is (602) 340-0201.
- Who is the authorized official for Corey L Detlefs MD?
- The authorized official listed on Corey L Detlefs MD's NPPES record is Corey Detlefs, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Corey L Detlefs MD's NPI active?
- Yes — Corey L Detlefs MD's NPI (1396822482) is active in the NPPES registry as of the last update on 2007-12-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.