Individual
DR. JONATHAN L LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
931 SHARIT AVE, SUITE 101, GARDENDALE, AL 35071-5003
(205) 631-8116
(205) 631-8114
Mailing address
833 SAINT VINCENTS DR, SUITE 402, BIRMINGHAM, AL 35205-1606
(205) 933-9236
(205) 933-9213
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
00020375
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125195
—
AL
Enumeration date
06/27/2006
Last updated
02/11/2015
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