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Individual

DR. LARRY D LEVY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2301 YALE BLVD SE, SUITE D3, ALBUQUERQUE, NM 87106-4228
(505) 842-4433
(505) 842-4436
Mailing address
2301 YALE BLVD SE, SUITE D3, ALBUQUERQUE, NM 87106-4228
(505) 842-4433
(505) 842-4436

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
83-238
NM
207P00000X
Emergency Medicine Physician
J4893
TX

Other

Enumeration date
12/20/2010
Last updated
12/20/2010
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