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Organization

PROVITA MEDICAL SERVICES, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES LEVRI D.O. (PRESIDENT)
(724) 294-3121
Entity
Organization

Contact information

Practice address
105 BRANDT DR, SUITE 101, CRANBERRY TOWNSHIP, PA 16066-6437
(724) 772-1766
Mailing address
260 BUFFALO PLZ, PMB # 300, SARVER, PA 16055-8302
(724) 294-3121
(724) 294-3121

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS-003846-L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PR255066
GROUP#PA.BLUE SHIELD
PA
Enumeration date
07/11/2006
Last updated
08/22/2020
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