Individual
JONATHAN ELIOT LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6151 S YALE AVE, TULSA, OK 74136-1907
(918) 494-5300
(918) 494-5455
Mailing address
6600 S YALE AVE, STE 1400, TULSA, OK 74136-3310
(918) 488-6001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
23010
OK
208M00000X
Hospitalist Physician
Primary
23010
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100120130A
—
OK
Enumeration date
07/14/2005
Last updated
03/14/2018
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