Individual
DR. EDITH A. LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7 JASON CT, SAINT CHARLES, MO 63304-1233
(636) 300-1427
Mailing address
12142 ROYAL VALLEY DR, CREVE COEUR, MO 63141-6654
(314) 576-4507
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R4702
MO
Other
Enumeration date
04/26/2006
Last updated
03/03/2009
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