Individual
STEPHEN B. LEVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5300 FAR HILLS AVE, DAYTON, OH 45429-2381
(937) 433-7536
(937) 433-0612
Mailing address
5300 FAR HILLS AVE, DAYTON, OH 45429-2347
(937) 433-7536
(937) 433-0612
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35041936
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070003834
RAILROAD MEDICARE
OH
01
—
3109647743A11
ANTHEM BC/BS
OH
Enumeration date
06/23/2006
Last updated
08/03/2016
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