Individual
DARCIE L LEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
520 S EAGLE RD, SUITE 1241, MERIDIAN, ID 83642-6351
(208) 288-2255
(208) 288-1535
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 288-2255
(208) 288-1535
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-655
ID
Other
Enumeration date
01/12/2007
Last updated
02/17/2011
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