Individual
MR. RONALD LEE LEVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, ATC
Contact information
Practice address
1590 W FILLMORE ST, COLORADO SPRINGS, CO 80904-1104
(719) 328-3630
Mailing address
1590 W FILLMORE ST, COLORADO SPRINGS, CO 80904-1104
(719) 328-3630
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
507
CO
Other
Enumeration date
05/11/2006
Last updated
02/13/2012
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