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28465 S Chrisman Rd Tracy CA 95304-8101 | |
| (916) 576-7898 | |
| (916) 285-0338 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 28465 S Chrisman Rd, Tracy, California |
| Authorized Official Name and Position | Mark David Levine (PRESIDENT) |
| Authorized Official Contact | 9165767898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3835 N Freeway Blvd 100 Sacramento CA 95834-1928 Ph: (916) 576-7898 | 28465 S Chrisman Rd Tracy CA 95304-8101 Ph: (916) 576-7898 |
| NPI Number | 1902022213 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 10/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902022213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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