NPI | 1780888263 |
---|---|
Other Name | GERRY FRANK LEVENS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL 98854) |
Additional Taxonomies | 202C00000X Independent Medical Examiner (Licence: FL ME98854) |
207Q00000X Family Medicine (Licence: FL ME98854) | |
Enumeration Date | 2007-06-11 |
Last Update Date | 2019-01-31 |