Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 7382 | CO |
NPI | 1134248230 |
---|---|
Provider Name | Dr. Bradley David Levalley |
First Address | Fort Collins, CO 80525-4333 |
Second Address | Fort Collins, CO 80525-7585 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2007 |
Last Update Date | 08/08/2007 |