NPI 1801814769

Glenn Laurence Levine, MD

Practitioner Surgery Physician Coquille, OR

Practice location

Address: 790 E 5th St, Coquille, OR 97423
Phone: (541) 396-3111
Fax: (541) 396-5891

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence MD162422 (OR)

Other Surgery providers in Oregon →

Registry record

NPI: 1801814769
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jul 2006
Record last updated: 21 Dec 2021

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.