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NPI Code Detail

MEDICARE: RALPH LEVITT MD

MEDICARE: RALPH LEVITT 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
1207RX0202XMedical Oncology Physician4241ND

General Provider Information

NPI Number : 1548287212
Entity Type Code : Individual
Provider Name (Legal Business Name) : RALPH LEVITT MD
Provider Business Mailing Address
First Line : 820 4TH ST N
Second Line :
City : FARGO
State : ND
Zip : 58122-0001
Country : US
Telephone Number : 701-234-6161
Fax Number : 701-234-3861
Provider Business Practice Location Address
First Line : 820 4TH ST N
Second Line :
City : FARGO
State : ND
Zip : 58102-4539
Country : US
Telephone Number : 701-234-4811
Fax Number : 701-234-6979
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 01/19/2012

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Directions to “ RALPH LEVITT MD” Practice Location

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