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Individual

MELISSA DIANE LEVINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5055 E BROADWAY BLVD, SUITE A100, TUCSON, AZ 85711-3640
(520) 327-0460
(520) 795-0225
Mailing address
2260 N ROSEMONT BLVD, SUITE 107, TUCSON, AZ 85712-2137
(520) 318-1033
(520) 318-1338

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21943
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
311738
AZ
01
Z155158
PTAN
AZ
Enumeration date
12/02/2005
Last updated
07/29/2020
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