Individual
DR. ROSS LEVATTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5640 E WONDERVIEW RD, PHOENIX, AZ 85018-2014
(480) 946-3772
Mailing address
5640 E WONDERVIEW RD, PHOENIX, AZ 85018-2014
(480) 946-3772
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
18681
AZ
2085R0202X
Diagnostic Radiology Physician
5997
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002329
—
AZ
Enumeration date
07/13/2006
Last updated
12/12/2011
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