Individual
DR. STEPHEN LEVERETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2211 CONGRESS ST, PORTLAND, ME 04122-0002
(207) 575-2070
Mailing address
2211 CONGRESS ST, PORTLAND, ME 04122-0002
(207) 575-2070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1438
ME
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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