Provider Demographics
NPI:1770573289
Name:LEVERANT, AMY A (MD)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:A
Last Name:LEVERANT
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Gender:F
Credentials:MD
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Mailing Address - Street 1:3200 E CAMELBACK RD STE 250
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-2327
Mailing Address - Country:US
Mailing Address - Phone:602-933-1814
Mailing Address - Fax:602-933-1820
Practice Address - Street 1:6320 W UNION HILLS DR
Practice Address - Street 2:BLDG A STE 230
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308
Practice Address - Country:US
Practice Address - Phone:602-933-3937
Practice Address - Fax:602-933-2409
Is Sole Proprietor?:No
Enumeration Date:2005-10-26
Last Update Date:2018-06-06
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Provider Licenses
StateLicense IDTaxonomies
AZ21889207W00000X, 207WX0110X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0110XAllopathic & Osteopathic PhysiciansOphthalmologyPediatric Ophthalmology and Strabismus Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ154253Medicaid
AZE96495Medicare UPIN