Individual
VAN STEPHEN LEAVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3477 S MERCY RD STE 208, GILBERT, AZ 85297-0448
(480) 728-6590
(480) 728-6591
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
006665
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024924
—
AZ
Enumeration date
05/12/2011
Last updated
08/05/2025
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