Whalio Doctors

NPI 1144750522

Jonathan Charles Levin, DO

Practitioner Military Health Care Provider Cannon Afb, NM

Practice location

Address
27th Special Operations Medical Group 224 W D. L. Ingram Avenue, Bldg. 1408, Cannon Afb, NM 88103-5103
Phone
(575) 784-7801
Mailing address
27th Special Operations Medical Group 224 W D. L. Ingram Avenue, Bldg. 1408, Cannon Afb, NM 88103

Registered specialties (2)

Military Health Care Provider Primary
Other Service Providers Taxonomy 171000000X Licence 02006642A (IN)
Military Health Care Provider
Other Service Providers Taxonomy 171000000X

Registry record

NPI
1144750522
Entity type
Individual
Sex (as registered)
Male
NPI issued
18 Jun 2017
Record last updated
11 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.