Individual
DAVID RAY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
36457 N GANTZEL RD STE 102, SAN TAN VALLEY, AZ 85140-7343
(480) 764-1900
Mailing address
4531 N 16TH ST STE 114, PHOENIX, AZ 85016-5344
(602) 266-8700
(602) 296-0404
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
66139
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2018
Last updated
07/05/2022
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