Individual
MICHAEL E LEAVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4500 MEMORIAL DRIVE, BELLEVILLE, IL 62223
(618) 257-4076
Mailing address
940 WEST PORT PLAZA, STE 270, ST LOUIS, MO 63146
(314) 453-0600
(314) 453-0083
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
R2G27
MO
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
036102459
IL
Other
Enumeration date
09/26/2006
Last updated
12/29/2022
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