Larry Cornelius Leverett M.D.

NPI 1023032034 - Specialist - 174400000X

NPI Details
NPI 1023032034
Gender Male
Enumeration Date 07/26/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4530 E RAY RD
SUITE 140
PHOENIX AZ, 85044-6094, US
Phone (480) 706-5830
Fax (480) 706-1800
Business Location
4530 E RAY RD
SUITE 140
PHOENIX AZ, 85044-6094, US
Phone (480) 706-5830
Fax (480) 706-1800
Toxanomy
Taxonomy Code 174400000X
License State Arizona
License Number 119168
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According to our database, Larry Cornelius Leverett M.D. NPI is 1023032034, taxonomy code is 174400000X and license number is 119168, license state is located at Arizona. Larry Cornelius Leverett M.D. physically located at 4530 E Ray Rd, Phoenix AZ, 85044-6094. NPI Number Larry Cornelius Leverett M.D. has the Individual type.

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1023032034 NPI number is provided on an as is basis without warranty of any kind. 1023032034 is maintained by the National Plan & Provider Enumeration System. The contents of Larry Cornelius Leverett M.D. are for informational purposes only.