Individual
DR. DANIEL RAPHAEL LEVINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 CHILDREN'S PLACE, ST LOUIS, MO 63110-1002
(314) 454-6173
(314) 454-2412
Mailing address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1002
(314) 454-6173
(314) 454-2412
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
2009010073
MO
Other
Enumeration date
08/24/2009
Last updated
08/24/2009
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