Individual
DR. STEVEN B LIVINGSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
711 VETERANS MEMORIAL PKWY STE 300, SAINT CHARLES, MO 63303-2106
(636) 669-2350
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R1F75
MO
208D00000X
General Practice Physician
R1F75
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00082066
RAILROAD MEDICARE
MO
Enumeration date
02/15/2006
Last updated
10/23/2020
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