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Individual

DR. JAMES W LEVINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1675 18TH AVE, SUITE 3, GREELEY, CO 80631-5132
(970) 350-2433
(970) 392-4768
Mailing address
1675 18TH AVE, SUITE 3, GREELEY, CO 80631-5112
(970) 350-2433
(970) 392-4768

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
42160
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42052734
CO
01
P00944710
MEDICARE RAILROAD CARRIER PTAN
CO
Enumeration date
01/03/2006
Last updated
08/31/2015
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