Lewis, Bob A

Lewis, Bob A is an individual health care provider with primary practice located at 11209 N Tatum Blvd Suite #110, Phoenix AZ 85028-3091. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Radiology, which is considered as his primary health care specialty. Lewis, Bob A can be contacted via phone (602) 248-8002.

Contact Information

Primary practice address
11209 N Tatum Blvd Suite #110 Phoenix AZ 85028-3091
Phone: (602) 248-8002
Fax: (602) 248-8399
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 19560 Arizona

Profile Details

NPI number 1730138751
LBN Legal business name Lewis, Bob A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730138751 NPPES
Arizona Other 1Z7049 HEALTHNET
Arizona Other 211863 HEALTHNET
Arizona Other AZ0324990 HEALTHNET

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