Individual
WESLEY KREIG LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
740 N SAN MARCOS DR, APACHE JUNCTION, AZ 85120-5518
(480) 597-1751
(480) 360-6591
Mailing address
740 N SAN MARCOS DR, APACHE JUNCTION, AZ 85120-5518
(480) 597-1751
(480) 360-6591
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
866
AZ
213ES0103X
Foot & Ankle Surgery Podiatrist
980
AZ
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD-000980
AZ
213ES0103X
Foot & Ankle Surgery Podiatrist
T-1448
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278161
—
AZ
Enumeration date
05/05/2014
Last updated
09/17/2024
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