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NPI Code Detail

MEDICARE: JAMES LEVINE MD

MEDICARE: JAMES LEVINE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician040218CT
2207P00000XEmergency Medicine PhysicianM-2304GU

General Provider Information

NPI Number : 1134194772
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES LEVINE MD
Provider Business Mailing Address
First Line : 250 HOSPITAL PL
Second Line :
City : SOLDOTNA
State : AK
Zip : 99669-6999
Country : US
Telephone Number : 907-714-4444
Fax Number :
Provider Business Practice Location Address
First Line : 250 HOSPITAL PL
Second Line :
City : SOLDOTNA
State : AK
Zip : 99669-6999
Country : US
Telephone Number : 907-714-4444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2006
Last Update Date : 03/17/2022

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