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Individual

DR. SANFORD LEVY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
128 33RD AVE E, SEATTLE, WA 98112
(206) 324-2923
Mailing address
128 33RD AVE E, SEATTLE, WA 98112-4908
(206) 601-1737

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00016798
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0165786
DEPT OF LABOR & INDUSTRIE
WA
01
050091449
RAILROAD MEDICARE
WA
05
1117084
WA
01
LE2878
REGENCE BLUE SHIELD
WA
Enumeration date
10/28/2005
Last updated
12/05/2019
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