Individual
JOHN M LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4760 E FALCON DR STE 101, MESA, AZ 85215-2528
(480) 985-7400
(480) 396-6362
Mailing address
4800 N 22ND ST, PHOENIX, AZ 85016-4701
(602) 955-1000
(602) 508-4890
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
17163
AZ
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
17163
AZ
Other
Enumeration date
02/09/2006
Last updated
04/30/2019
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