Individual
DAVID JEREMY LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
912 PINE ST, MOUNT SHASTA, CA 96067-2143
(530) 926-7131
Mailing address
912 PINE ST, MOUNT SHASTA, CA 96067-2143
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A198093
CA
Other
Enumeration date
03/26/2019
Last updated
01/20/2025
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