Individual
DR. ELIE LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13610 1ST AVE S, BURIEN, WA 98168-3404
(206) 248-5020
(206) 244-8425
Mailing address
13610 1ST AVE S, BURIEN, WA 98168-3404
(206) 248-5020
(206) 244-8425
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD00000034385
WA
207N00000X
Dermatology Physician
Primary
MD00034385
WA
207ND0101X
MOHS-Micrographic Surgery Physician
MD00034385
WA
207NS0135X
Procedural Dermatology Physician
MD00034385
WA
261Q00000X
Clinic/Center
ASF.FS.60099259
WA
261QA1903X
Ambulatory Surgical Clinic/Center
ASF.FS.60099259
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7089576
—
WA
Enumeration date
06/14/2005
Last updated
06/15/2012
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