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Individual

DALE R LEVY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5131 BEACON HILL RD, SUITE 100, COLUMBUS, OH 43228-4442
(614) 544-2445
(614) 544-2406
Mailing address
5400 FRANTZ RD, SUITE 250, DUBLIN, OH 43016-4144

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
055706
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2161799
OH
Enumeration date
12/07/2005
Last updated
03/15/2016
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