Individual
DR. DOUGLAS SMOOT LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(602) 839-2000
Mailing address
22455 N MILLER RD # B100, SCOTTSDALE, AZ 85255-4956
(480) 435-9100
(480) 702-0083
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10043101
TX
2085R0202X
Diagnostic Radiology Physician
56019
AZ
2085R0204X
Vascular & Interventional Radiology Physician
Primary
56019
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401782
—
AZ
Enumeration date
05/30/2012
Last updated
11/29/2022
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