Provider Information for 1154483881
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Dr. DOUGLAS WILLIAM TREESE Ph.D.
Sex: Male
NPI: 1154483881
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1154483881 | ||||||||
| Enumeration Date | 2006-12-16 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1137 W 12TH ST TEMPE, AZ 85281-5364 United States Phone: 480-968-8627 | Fax:480-821-7886 | ||||||||
| Primary Practice Address | 1256 W CHANDLER BLVD SUITE 13 CHANDLER, AZ 85224-5207 United States Phone: 480-821-7857 | Fax:480-821-7886 | ||||||||
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