Individual
DR. EDWIN LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2835 FORT MISSOULA RD # 3, MISSOULA, MT 59804
(406) 721-5600
Mailing address
PO BOX 7609, MISSOULA, MT 59807-7609
(406) 721-5600
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
69495
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001330050
—
CT
Enumeration date
03/22/2006
Last updated
05/08/2020
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