Provider Demographics
NPI:1922208644
Name:LEVY, ROBERT MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:MICHAEL
Last Name:LEVY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3787 E VILLA CASSANDRA WAY
Mailing Address - Street 2:
Mailing Address - City:CAVE CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85331-9514
Mailing Address - Country:US
Mailing Address - Phone:480-483-6779
Mailing Address - Fax:
Practice Address - Street 1:4725 N SCOTTSDALE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-7620
Practice Address - Country:US
Practice Address - Phone:480-483-1410
Practice Address - Fax:480-483-2604
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-20
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ32295207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
BL9630078OtherDEAE