person
Jonathan Charles Levin, DO
Military Health Care Provider in Clovis, New Mexico
NPI 1144750522

Jonathan Charles Levin is a Military Health Care Provider based in Clovis, NM. Jonathan Charles Levin practices in Clovis, NM and has the professional credentials of DO. The NPI Number for Jonathan Charles Levin is 1144750522 and holds a License No. 02006642A (New Mexico).

The current practice location address for Jonathan Charles Levin is 208 D L Ingram Ave W, Clovis, NM and can be reached out via phone at 575-904-6936. You can also correspond with Jonathan Charles Levin through the mailing address at 208 D L INGRAM AVE W, CLOVIS, NM - 88103-5103 (mailing address contact number: ).

Location: 208 D L Ingram Ave W, Clovis, NM, 88103-5103
person
Provider Profile Details
NPI Number
1144750522
Provider Name
Jonathan Charles Levin
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
208 D L Ingram Ave W, Clovis, NM, 88103-5103
Phone Number
575-904-6936
Fax Number
Provider Enumeration Date
06/18/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
208 D L Ingram Ave W
City
State
Zip
88103-5103
Phone Number
575-904-6936
Fax Number
person
Provider Business Mailing Address Details
Address
208 D L Ingram Ave W
City
State
Zip
88103-5103
Phone Number
575-904-6936
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
02006642A (Indiana)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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