Individual
DR. KEVIN LEE SVANCARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2620 N 140TH AVE # 103, GOODYEAR, AZ 85395-2437
(623) 219-4777
(623) 219-4778
Mailing address
2620 N 140TH AVE # 103, GOODYEAR, AZ 85395-2437
(623) 219-4777
(623) 219-4778
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
006549
AZ
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
PG163096
OR
207NS0135X
Procedural Dermatology Physician
6549
AZ
Other
Enumeration date
06/13/2013
Last updated
02/20/2025
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