# JOANNE GRACE LEOVY MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JOANNE G LEOVY MD LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1134303936
- **Legal business name:** JOANNE G LEOVY MD LLC
- **Authorized official:** JOANNE G LEOVY MD (MD)
- **Authorized official phone:** (702) 293-0406

## Contact information

- **Practice address:** 895 ADAMS BLVD, BOULDER CITY, NV 89005
- **Practice address phone:** (702) 293-0406
- **Practice address fax:** (702) 293-0192
- **Mailing address:** 895 ADAMS BLVD, BOULDER CITY, NV 89005
- **Mailing address phone:** (702) 293-0406
- **Mailing address fax:** (702) 293-0192

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 9931 | NV | Yes |

## Other

- **Enumeration date:** 12/28/2007
- **Last updated:** 01/22/2008
