Individual
LEVI IVAN MAES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3630 LAS ESTANCIAS DR SW, ALBUQUERQUE, NM 87121-5504
(505) 462-7777
Mailing address
PO BOX 26666, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2013-0604
NM
Other
Enumeration date
05/19/2011
Last updated
02/06/2024
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