Individual
DR. MAX PHILLIP LEVINE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1037 MAIN ST, DANVILLE, VA 24541-1815
(434) 792-6117
(434) 792-4619
Mailing address
1037 MAIN ST, DANVILLE, VA 24541-1815
(434) 792-6117
(434) 792-4619
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
0101048304
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
074218
ANTHEM PROVIDER NUMBER
VA
05
—
790573W
—
NC
Enumeration date
07/18/2005
Last updated
07/09/2007
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