Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 003672 | OH |
NPI | 1073830766 |
---|---|
Provider Name | Dr. Timothy Jason Levar |
First Address | Willoughby Hills, OH 44094-8480 |
Second Address | Willoughby Hills, OH 44094-8480 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2010 |
Last Update Date | 17/07/2013 |