Healthcare Provider Details

I. General information

NPI: 1952747081
Provider Name (Legal Business Name): JOSHUA A LEVY DO PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2013
Last Update Date: 05/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9188 E SAN SALVADOR DR STE 2
SCOTTSDALE AZ
85258-5562
US

IV. Provider business mailing address

9188 E SAN SALVADOR DR STE 2
SCOTTSDALE AZ
85258-5562
US

V. Phone/Fax

Practice location:
  • Phone: 480-292-8877
  • Fax:
Mailing address:
  • Phone: 480-292-8877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number005988
License Number StateAZ

VIII. Authorized Official

Name: JOSHUA LEVY
Title or Position: PRESIDENT
Credential: DO
Phone: 480-292-8877