Individual
JAMES EDWARD LEVOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21 MEDICAL CENTER DR, PENNSBORO, WV 26415-1276
(304) 659-2986
(304) 659-2988
Mailing address
686 S PIKE ST, STE A, SHINNSTON, WV 26431-1043
(304) 624-4655
(304) 624-3918
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12064
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1806310000
—
WV
Enumeration date
09/16/2006
Last updated
09/28/2011
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