Individual
CHRISTINE ANN LIVEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
304A E 4TH ST, ELDON, MO 65026-1808
(573) 557-2400
(573) 557-2401
Mailing address
PO BOX 1500, OSAGE BEACH, MO 65065-1500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2013023002
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
425118205
—
MO
Enumeration date
07/07/2006
Last updated
08/19/2013
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