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STUART P LEVENTHAL MD
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1225047863
Individual Registrant: STUART P LEVENTHAL MD
Gender: M
Not Sole Proprietor
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: --
Tel: 601-437-5141 Fax: --
Contact information for business:
PO BOX 320863 FLOWOOD, MS 39232-0863 US
Tel: 601-919-6590 Fax: --
Tel: 601-919-6590 Fax: --
Registration Information:
NPI: 1225047863
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | MS | 19158 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
