Individual
JOHN D LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9225 N 3RD ST STE 203, PHOENIX, AZ 85020-2464
(602) 369-2983
(480) 565-4552
Mailing address
9225 N 3RD ST STE 203, PHOENIX, AZ 85020-2464
(602) 369-2983
(480) 565-4552
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
11783
AZ
207Q00000X
Family Medicine Physician
Primary
11783
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192229
—
AZ
05
—
272877
—
AZ
Enumeration date
05/24/2006
Last updated
11/22/2023
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