Individual
DR. MARY DIANE LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4207 E COTTON CENTER BLVD # CC10, PHOENIX, AZ 85040-8893
(602) 648-8900
Mailing address
PO BOX 840294, DALLAS, TX 75284-0294
(888) 344-1160
(972) 331-3148
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
20A10247
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
233277
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4114
AZ
Other
Enumeration date
12/29/2008
Last updated
03/21/2018
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