Organization
CARL R LEVISEUR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON LEVISEUR (MANAGER)
(775) 727-6400
Entity
Organization
Contact information
Practice address
2270 COMMERCIAL DR, PAHRUMP, NV 89048-4704
(775) 727-6400
(775) 727-7543
Mailing address
PO BOX 1940, PAHRUMP, NV 89041-1940
(775) 727-6400
(775) 727-7543
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5386
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002012004
—
NV
05
—
002412007
—
NV
Enumeration date
03/22/2007
Last updated
12/15/2009
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