Individual
RENNY H. LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2947 RODEO PARK DR E, SANTA FE, NM 87505-6303
(505) 983-6613
(505) 986-9984
Mailing address
8801 HORIZON BLVD NE, SUITE 360, ALBUQUERQUE, NM 87113-1533
(505) 828-4923
(505) 213-0103
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
90-68
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180042937
RRB MEDICARE RAILROAD
NM
05
—
25672
—
NM
05
—
854027
—
AZ
01
—
NM009539
BC BS OF NM
NM
Enumeration date
10/24/2005
Last updated
04/25/2008
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