EZRA LEVY MEDICAL STUDENT NPI 1861846818

NPI Information

Ezra Levy, MEDICAL STUDENT is a student in an organized health care education training program in Hattiesburg, MS. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Ezra Levy, MEDICAL STUDENT NPI is 1861846818. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

498 TUSCAN AVE
HATTIESBURG, MS
ZIP 39401-461
Phone: (601) 318-6235

The enumeration date for this NPI number is 4/15/2016 and was last updated on 4/15/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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