Ethan C Levin
MOHS-Micrographic Surgeon
5600 Eubank Blvd Ne Ste 110
Albuquerque
, New Mexico 87111-1519
Ethan C Levin
MOHS-Micrographic Surgeon
5600 Eubank Blvd Ne Ste 110
Albuquerque
, New Mexico 87111-1519
(716) 812-9434
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About
Features
Specialties
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Ethan C Levin
- 12912 Juniper Canyon Trl Ne
- Albuquerque, NM
- Zip : 87111-8235
- Phone : (716) 812-9434
Second Address
- Ethan C Levin
- 5600 Eubank Blvd Ne Ste 110
- Albuquerque, NM
- Zip : 87111-1519
- Phone : (314) 996-8810
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207ND0101X | MOHS-Micrographic Surgeon | A122015 | CA |
National Provider Identifier
| NPI | 1326332123 |
|---|---|
| Provider Name | Ethan C Levin |
| First Address | Albuquerque, NM 87111-8235 |
| Second Address | Albuquerque, NM 87111-1519 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/06/2011 |
| Last Update Date | 01/02/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.