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Individual

MARK F LEVEAUX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12400 E MARGINAL WAY S, TUKWILA, WA 98168-2559
(206) 901-6510
Mailing address
PO BOX 34584, SEATTLE, WA 98124-1584
(509) 241-7349
(509) 241-7628

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00027080
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8133670
WA
Enumeration date
01/22/2007
Last updated
07/27/2007
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