MEDICARE: MEEGAN ELISE LEVE 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
1	208000000X	Pediatrics Physician	DR.0045659	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295815694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEEGAN ELISE LEVE MD

Provider Business Mailing Address
First Line	:	PO BOX 4330
Second Line	:
City	:	AVON
State	:	CO
Zip	:	81620-4330
Country	:	US
Telephone Number	:	970-926-6340
Fax Number	:	970-926-6348

Provider Business Practice Location Address
First Line	:	50 BUCK CREEK RD STE 200
Second Line	:
City	:	AVON
State	:	CO
Zip	:	81620-5428
Country	:	US
Telephone Number	:	970-926-6340
Fax Number	:	970-926-6348

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	05/13/2022

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Directions to “ MEEGAN ELISE LEVE MD” Practice Location

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