Individual
GIDEON EZRA LEVINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12631 E 17TH AVE, AURORA, CO 80045-2527
(303) 724-7494
Mailing address
12631 E 17TH AVE, AURORA, CO 80045-2527
(303) 724-7494
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
125.079902
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
TL.0009784
CO
Other
Enumeration date
05/11/2021
Last updated
06/12/2023
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