Individual
ALAN LEVINE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 GREENLEY RD, SONORA, CA 95370-5200
(209) 536-3514
Mailing address
PO BOX 34120, RENO, NV 89533-4120
(775) 747-5050
(775) 747-5005
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G70870
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G708700
—
CA
Enumeration date
05/10/2006
Last updated
07/09/2007
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