Individual
DR. BRIAN LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
124 N BRYANT AVE, C4, EDMOND, OK 73034-6305
(405) 330-7606
(405) 330-7607
Mailing address
124 N BRYANT AVE, C4, EDMOND, OK 73034-6305
(405) 330-7606
(405) 330-7607
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13990
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100257590B
—
OK
Enumeration date
03/03/2006
Last updated
09/20/2013
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