Organization
RUSS L LEVITAN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSS L LEVITAN MD (PRESIDENT)
(805) 550-0445
Entity
Organization
Contact information
Practice address
10 SANTA ROSA ST # 201, SAN LUIS OBISPO, CA 93405-5826
(805) 544-7246
(805) 782-8097
Mailing address
1305 FILAREE WAY, ARROYO GRANDE, CA 93420-4947
(805) 550-0445
(805) 782-8097
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
02/24/2025
Last updated
03/14/2025
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