: Mark David Levine, M.d. Professional Corporation
NPI #1407119571 in Manteca, California
Provider Information
- NPI Number
- 1407119571
- Entity Type
- Organization
- Organization Name
- : Mark David Levine, M.d. Professional Corporation
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Jun 22, 2012
- Last Updated
- Jun 26, 2013
Practice Location
- Address
- 302 CHERRY LN
- Address 2
- STE 208
- City
- Manteca
- State
- California
- ZIP Code
- 95337-4311
- Phone
- (209) 823-2246
Authorized Official
- Name
- MARK DAVID LEVINE, MD
- Title
- PRESIDENT/CEO
- Phone
- (916) 576-7898
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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