Individual
DEAN LEVESQUE
Active
Individual
DEAN LEVESQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
0010-05501
NC
363AS0400X
Surgical Physician Assistant
2492
SC
363AS0400X
Surgical Physician Assistant
Primary
PA.0004976
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2651PA
—
SC
Enumeration date
01/28/2015
Last updated
05/09/2017
Update your record
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