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Individual

DR. BRENDAN H LEVY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
600 S DOBSON RD, BLDG. A, CHANDLER, AZ 85224-5678
(480) 786-6655
(480) 786-6996
Mailing address
PO BOX 6190, CHANDLER, AZ 85246-6190
(480) 786-6655
(480) 786-6996

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
23692
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0742410
BCBS
AZ
01
2Z0591
HEALTHNET
AZ
05
521642
AZ
01
H20176
MEDICARE UPIN
AZ
01
Z76080
MEDICARE PIN
AZ
Enumeration date
07/21/2005
Last updated
01/22/2008
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