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Individual

JEFFREY A LEVISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4951 S WHITE MOUNTAIN RD BLDG A, SHOW LOW, AZ 85901-7827
(928) 537-6700
(928) 532-2120
Mailing address
4951 S WHITE MOUNTAIN RD BLDG A, SHOW LOW, AZ 85901-7827
(928) 537-6700
(928) 532-2199

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20369
AZ
207R00000X
Internal Medicine Physician
DR.0054861
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
128688
AZ
Enumeration date
05/18/2006
Last updated
04/12/2024
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