Individual
DR. PAMELA L LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 ROCKY MOUNTAIN AVE, NORTH MEDICAL OFFICE BUILDING, LOVELAND, CO 80538-9004
(970) 203-7180
(970) 203-7105
Mailing address
2500 ROCKY MOUNTAIN AVE, NORTH MEDICAL OFFICE BUILDING, LOVELAND, CO 80538-9004
(970) 203-7180
(970) 203-7105
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36703
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01367036
—
CO
01
—
P00944660
MEDICARE RAILROAD CARRIER PTAN
CO
Enumeration date
11/16/2005
Last updated
05/01/2012
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