Organization
EAST VALLEY SURGICAL ASSISTING
Active
Organization
EAST VALLEY SURGICAL ASSISTING
Active
Other names
EVSA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES LAURENT LEVESQUE PA-C (OWNER)
(480) 296-9893
Entity
Organization
Contact information
Practice address
8540 E MCDOWELL RD, UNIT 38, MESA, AZ 85207-1419
(480) 706-9430
(480) 378-2273
Mailing address
5155 E. EAGLE DRIVE, # 20730, MESA, AZ 85277-3031
(480) 706-9430
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407005549
VA, PRIVATE INSURERS, BUREAU OF INDIAN AFFAIRS
AZ
05
—
1407005549
—
AZ
Enumeration date
12/19/2022
Last updated
04/24/2024
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