Individual
DR. GARY MARC LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MEMORIAL HOSPITAL DR, SUITE 1E, MOBILE, AL 36608
(251) 316-3868
(251) 316-3583
Mailing address
PO BOX 7627, MOBILE, AL 36670-0627
(251) 316-3868
(251) 316-3583
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
27815
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009914128
—
AL
05
—
009914154
—
AL
05
—
009914261
—
AL
05
—
009936627
—
AL
05
—
009940055
—
AL
01
—
0515-47157
BCBS - PAM
AL
01
—
051546592
BCBS-RTO
AL
01
—
051547148
BCBS - PET
AL
05
—
05754501
—
MS
01
—
1340789
HEALTHSPRING - PET
AL
01
—
1341150
HEALTHSPRING - PAM
AL
01
—
1341151
HEALTHSPRING - RTO
AL
01
—
16-01005
UNITED HEALTHCARE
AL
05
—
1655121
—
LA
05
—
269875700
—
FL
01
—
51519209
BCBS
AL
Enumeration date
06/02/2006
Last updated
05/20/2008
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