Individual
DAVID LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-5700
Mailing address
3512 S 115TH AVE, OMAHA, NE 68144-4617
(402) 630-9578
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
201-02373
NC
Other
Enumeration date
04/22/2009
Last updated
08/19/2013
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