IndividualActive
Jonathan Levin, DO
NPI 1144750522 · Military Health Care Provider · Cannon Afb, NM
Provider details
- NPI number
- 1144750522
- Entity type
- Individual
- Primary specialty
- Military Health Care ProviderOther Service Providers
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
- Military Health Care Provider171000000X
Other Service Providers
Practice location
27th Special Operations Medical Group
224 W D. L. Ingram Avenue, Bldg. 1408
Cannon Afb, NM 88103-5103
Phone: (575) 784-7801
Approximate (ZIP-level) locationGet directions
Mailing address
27th Special Operations Medical Group
Cannon Afb, NM 88103
Registry dates
- Enumerated
- 2017-06-18
- Last updated
- 2024-10-11
- Certified
- 2024-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.