| Mark David Levine Md, Fort Bragg Professional Corporation | |
|
700 River Dr Fort Bragg CA 95437-5403 | |
| (916) 285-8977 | |
| (916) 285-0338 |
| Full Name | Mark David Levine Md, Fort Bragg Professional Corporation |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 700 River Dr, Fort Bragg, California |
| Authorized Official Name and Position | Mark David Levine (PRESIDENT) |
| Authorized Official Contact | 4157854636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark David Levine Md, Fort Bragg Professional Corporation 2081 Arena Blvd Suite 160 Sacramento CA 95834-2309 Ph: (916) 285-8971 | Mark David Levine Md, Fort Bragg Professional Corporation 700 River Dr Fort Bragg CA 95437-5403 Ph: (916) 285-8977 |
| NPI Number | 1447585245 |
|---|---|
| Provider Enumeration Date | 10/12/2009 |
| Last Update Date | 10/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447585245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (California) | Primary |
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