Individual
MR. CHARLES L LEVESQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5155 E EAGLE DR UNIT 20730, MESA, AZ 85277-3031
(480) 706-9430
(480) 378-2273
Mailing address
5155 E EAGLE DR UNIT 20730, MESA, AZ 85277-3031
(480) 708-9430
(480) 378-2273
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1621
AZ
Other
Enumeration date
09/12/2008
Last updated
04/24/2024
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