Organization
INNOVATIVE PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA LYNN LEVITT M.D. (OWNER)
(480) 776-0626
Entity
Organization
Contact information
Practice address
2915 E BASELINE RD, #101, GILBERT, AZ 85234-2425
(480) 776-0626
(480) 776-0627
Mailing address
2915 E BASELINE RD, #101, GILBERT, AZ 85234-2425
(480) 776-0626
(480) 776-0627
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
23910
AZ
Other
Enumeration date
04/18/2006
Last updated
10/28/2025
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