Individual
TANA M LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2451 PRATT ST, LONGMONT, CO 80501-1123
(303) 776-5000
(706) 270-0487
Mailing address
PO BOX 2153 DEPT 40339, BIRMINGHAM, AL 35287-9387
(706) 271-0100
(706) 270-0487
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40131
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37085832
—
CO
Enumeration date
02/02/2006
Last updated
10/09/2024
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