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General NPI Number Information
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NPI Number | 1629071717
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Entity Type | Individual
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Provider Name | BRIAN E LEVE M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 03/24/2008
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Provider Practice Location Address
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Address Line | 135 N EWING ST STE 206
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City | LANCASTER
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State | OH
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Zip | 43130-3378
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Country | US
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Telephone | 740-689-6319
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Fax | 740-689-6320
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Provider Business Mailing Address
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Address Line | 4705 ARROWHEAD DR
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City | CARROLL
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State | OH
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Zip | 43112-9586
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 35082937L
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License Number State | OH
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