Individual
DR. CLIVE LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
508 LOS NIDOS DR, SANTA FE, NM 87501-8356
(505) 989-3790
Mailing address
508 LOS NIDOS DR, SANTA FE, NM 87501-8356
(505) 989-3790
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
R8936
MO
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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