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STUART P LEVENTHAL MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1225047863

Individual Registrant:
 STUART P LEVENTHAL MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
123 MCCOMB AVE  PORT GIBSON, MS 39150-2915 US
Tel: 601-437-5141  Fax: --

Contact information for business:
PO BOX 320863  FLOWOOD, MS 39232-0863 US
Tel: 601-919-6590  Fax: --

Registration Information:
NPI: 1225047863
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
MS19158

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS MS - Page 1



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