Individual
DR. JAY KENNETH LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1850 N CENTRAL AVE, SUITE 1600, PHOENIX, AZ 85004-4633
(602) 744-4765
(602) 744-4799
Mailing address
1850 N CENTRAL AVE, SUITE 1600, PHOENIX, AZ 85004-4633
(602) 744-4765
(602) 744-4799
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
37969
AZ
207L00000X
Anesthesiology Physician
D64163
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
353306
—
AZ
01
—
P00759791
MEDICARE RAILROAD
—
Enumeration date
07/26/2006
Last updated
10/27/2010
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