Individual
DR. BRUCE B LEVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
10503 W THUNDERBIRD BLVD, SUITE 109, SUN CITY, AZ 85351-3022
(623) 977-9100
(623) 977-8020
Mailing address
PO BOX 24863, TEMPE, AZ 85285-4863
(480) 967-6500
(480) 967-6540
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0584
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
792243
—
AZ
Enumeration date
11/29/2005
Last updated
06/13/2013
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