Individual
DR. REBECCA J. LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1868 W 9800 S, SUITE 100, SOUTH JORDAN, UT 84095-4713
(801) 433-2873
(801) 433-5734
Mailing address
1868 W 9800 S, SUITE 100, SOUTH JORDAN, UT 84095-4713
(801) 433-2873
(801) 433-5734
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
332920-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316986136
NPI
UT
Enumeration date
06/06/2006
Last updated
03/29/2012
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