Individual
DR. RICHARD J LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4838 E BASELINE RD, BLDG. 2 STE. 110, MESA, AZ 85206-4671
(480) 892-2800
(480) 892-3258
Mailing address
PO BOX 63423, PHOENIX, AZ 85082-3423
(480) 892-2800
(480) 982-1400
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35079
AZ
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
35079
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035451
—
AZ
Enumeration date
02/13/2006
Last updated
06/22/2009
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