Organization
STANLEY D LEVINE, MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY DAVID LEVINE M.D. (PRESIDENT)
(707) 939-0336
Entity
Organization
Contact information
Practice address
20760 HYDE RD, SONOMA, CA 95476-9588
(707) 939-0336
(707) 938-8505
Mailing address
20760 HYDE RD, SONOMA, CA 95476-9588
(707) 939-0336
(707) 938-8505
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
C217632
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C217632
—
CA
Enumeration date
10/13/2009
Last updated
10/13/2009
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