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

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

The current practice location address for Jonathan Charles Levin is 27Th Special Operations Medical Group, Cannon Afb, NM and can be reached out via phone at 575-784-7801.

Location: 27Th Special Operations Medical Group, Cannon Afb, NM, 88103
person
Provider Profile Details
NPI Number
1144750522
Provider Name
Jonathan Charles Levin
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
27Th Special Operations Medical Group, Cannon Afb, NM, 88103
Phone Number
575-784-7801
Fax Number
Provider Enumeration Date
06/18/2017
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
27Th Special Operations Medical Group
City
State
Zip
88103-5103
Phone Number
575-784-7801
Fax Number
person
Provider Business Mailing Address Details
Address
27Th Special Operations Medical Group
City
State
Zip
88103-5103
Phone Number
575-784-7801
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
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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