| Mark David Levine, Elk Grove, Professional Corportation | |
|
9290 W Stockton Blvd Suite 109 Elk Grove CA 95758-8089 | |
| (916) 576-7924 | |
| (916) 567-3501 |
| Full Name | Mark David Levine, Elk Grove, Professional Corportation |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 9290 W Stockton Blvd, Elk Grove, California |
| Authorized Official Name and Position | Mark David Levine (PRESIDENT) |
| Authorized Official Contact | 9165767898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark David Levine, Elk Grove, Professional Corportation 3841 N Freeway Blvd Ste 120 Sacramento CA 95834-1949 Ph: (916) 576-7898 | Mark David Levine, Elk Grove, Professional Corportation 9290 W Stockton Blvd Suite 109 Elk Grove CA 95758-8089 Ph: (916) 576-7924 |
| NPI Number | 1942510417 |
|---|---|
| Provider Enumeration Date | 10/18/2010 |
| Last Update Date | 08/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942510417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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