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Organization
MARK DAVID LEVINE, M.D. DAVIS, PROFESSIONAL CORPORATION
Active
Organization
MARK DAVID LEVINE, M.D. DAVIS, PROFESSIONAL CORPORATION
Active
Parent organization
MARK DAVID LEVINE, M.D. PROFESSIONAL CORPORATION
Other names
Community Psychiatry
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARK DAVID LEVINE, M.D. PROFESSIONAL CORPORATION
Authorized official
DR. MARK DAVID LEVINE MD (PRESIDENT)
(916) 576-7898
Entity
Organization
Contact information
Practice address
1241 ALAMO DR, STE 6, VACAVILLE, CA 95687-5620
(916) 576-7898
(916) 285-0338
Mailing address
2081 ARENA BLVD, STE 160, SACRAMENTO, CA 95834-2309
(916) 576-7898
(916) 285-0338
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
06/14/2012
Last updated
06/15/2012
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