Mr Levi James Bauer, | |
1600 Granby St Apt 460, Norfolk, VA 23510-2662 | |
(407) 756-5069 | |
Not Available |
Full Name | Mr Levi James Bauer |
---|---|
Gender | Male |
Speciality | Student In An Organized Health Care Education/training Program |
Location | 1600 Granby St Apt 460, Norfolk, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053024232 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0110009378 (Virginia) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Levi James Bauer, 1600 Granby St Apt 460, Norfolk, VA 23510-2662 Ph: (407) 756-5069 | Mr Levi James Bauer, 1600 Granby St Apt 460, Norfolk, VA 23510-2662 Ph: (407) 756-5069 |
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