Individual
ERIC LEVINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
119 UNIVERSITY OF COLORADO BOULDER, BOULDER, CO 80309-0119
(303) 492-6280
Mailing address
4697 MACKY WAY, BOULDER, CO 80305-6743
(303) 492-6280
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
312
WY
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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