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NPI Code Detail

MEDICARE: DAVID JAMES LEVI

MEDICARE: DAVID JAMES LEVI
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
1175T00000XPeer Specialist

General Provider Information

NPI Number : 1740036243
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID JAMES LEVI
Provider Business Mailing Address
First Line : 1950 S SHEPARD AVE
Second Line :
City : EL RENO
State : OK
Zip : 73036-6357
Country : US
Telephone Number : 405-766-9742
Fax Number : 405-422-8299
Provider Business Practice Location Address
First Line : 1950 S SHEPARD AVE
Second Line :
City : EL RENO
State : OK
Zip : 73036-6357
Country : US
Telephone Number : 405-766-9742
Fax Number : 405-422-8299
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2024
Last Update Date : 04/25/2024

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Directions to “ DAVID JAMES LEVI ” Practice Location

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