LAUREL A RETAY DO

HEAVENS MEDICAL PLC

Dr LAUREL A RETAY DO is a female medical professional, specializing in Internal Medicine. She graduated in 1990 from Philadelphia College Of Osteopathic Medicine.

Contact

HEAVENS MEDICAL PLC

105 S DELAWARE DR
SUITE 2
APACHE JUNCTION
AZ
851206512

Tel: 4806461001

LAUREL A RETAY DO Information

Npi 1154318665
Pac Id 2961497565
Professional Enrollment Id I20051117000867
Last Name RETAY
First Name LAUREL
Middle Name A
Suffix
Gender F
Credential DO
Medical School Name PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year 1990
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1 OSTEOPATHIC MANIPULATIVE MEDICINE
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties OSTEOPATHIC MANIPULATIVE MEDICINE
Organization Legal Name HEAVENS MEDICAL PLC
Group Practice Pac Id 5395991822
Number Of Group Practice Members 8
Line 1 Street Address 105 S DELAWARE DR
Line 2 Street Address SUITE 2
Marker Of Address Line 2 Suppression
City APACHE JUNCTION
State AZ
Zip Code 851206512
Phone Number 4806461001
Hospital Affiliation Ccn 1 030088
Hospital Affiliation Lbn 1 BANNER BAYWOOD MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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