Provider Demographics
NPI:1205838737
Name:LAUFER, ROBERT D (DO)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:D
Last Name:LAUFER
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Gender:M
Credentials:DO
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Mailing Address - Street 1:3638 E SOUTHERN AVE
Mailing Address - Street 2:STE C108
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-2563
Mailing Address - Country:US
Mailing Address - Phone:480-834-0771
Mailing Address - Fax:480-834-1136
Practice Address - Street 1:3638 E SOUTHERN AVE
Practice Address - Street 2:STE C108
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-2563
Practice Address - Country:US
Practice Address - Phone:480-834-0771
Practice Address - Fax:480-834-1136
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2016-02-25
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Provider Licenses
StateLicense IDTaxonomies
AZ2834207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ2834OtherLICENSE NUMBER
AZF69224Medicare UPIN
AZZ103791Medicare PIN