MEDICARE: BARBARA LEVY, M.D., P.S.

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
1	174400000X	Specialist	MD00019274	WA

General Provider Information

NPI Number	:	1659488542
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARBARA LEVY, M.D., P.S.

Provider Business Mailing Address
First Line	:	34503 9TH AVE S STE 330
Second Line	:
City	:	FEDERAL WAY
State	:	WA
Zip	:	98003-8726
Country	:	US
Telephone Number	:	253-838-3695
Fax Number	:	253-661-1987

Provider Business Practice Location Address
First Line	:	34503 9TH AVE S STE 330
Second Line	:
City	:	FEDERAL WAY
State	:	WA
Zip	:	98003-8726
Country	:	US
Telephone Number	:	253-838-3695
Fax Number	:	253-661-1987

Authorized Official
Title or Position	:	CEO
Name	:	BARBARA SUSAN LEVY
Credential	:	M.D.
Telephone Number	:	253-838-3695

Provider Enumeration Date	:	08/24/2006
Last Update Date	:	08/22/2020

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