Individual
DR. ERIC A LEVEQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1303 E HERNDON AVE, FRESNO, CA 93720-3309
(559) 450-3205
Mailing address
PO BOX 28951, FRESNO, CA 93729-8951
(888) 398-1370
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A8385
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0020A83850
BLUE SHIELD
CA
05
—
00AX83850
—
CA
01
—
20A8385
BLUE CROSS
CA
01
—
20A8385
COUNTY OF FRESNO
—
Enumeration date
06/15/2006
Last updated
10/10/2013
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