Doctor Name: | DR. HOWARD PHILLIP LEVY |
NPI Number: | 1053323626 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 20A4148 |
Business Practice Address: | 57370 29 Palms Hwy Ste 203 Yucca Valley, CA - 922842900 |
Business Phone Number: | 7603690069 |
Business Fax Number: | 7603698210 |
Mailing Address: | 57370 29 Palms Hwy Ste 203, YUCCA VALLEY |
State: | CA |
Postal Code: | 922842900 |
Phone Number: | 7603690069 |
Fax Number: | 7603698210 |
NPI Enumeration Date: | 08/12/2006 |
NPI Last Update Date: | 10/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 20A4148 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |