Individual
DR. PAUL MICHAEL LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7700 WASHINGTON VILLAGE DR, SUITE 130, CENTERVILLE, OH 45459
(937) 531-0195
(937) 531-0196
Mailing address
7700 WASHINGTON VILLAGE DR STE 130, CENTERVILLE, OH 45459-4094
(937) 531-0195
(937) 531-0196
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34-010479
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000818480
ANTHEM BC BS
OH
05
—
0082370
—
OH
Enumeration date
08/20/2008
Last updated
01/18/2021
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