Individual
DR. MARK DAVID LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CHILDRENS PL, STE C, SAINT LOUIS, MO 63110-1002
(314) 454-6095
(314) 454-2561
Mailing address
1 CHILDRENS PL, NWT 1230, SAINT LOUIS, MO 63110-1002
(314) 454-6095
(314) 454-2561
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2010007400
MO
2080P0202X
Pediatric Cardiology Physician
2010007400
MO
Other
Enumeration date
09/27/2006
Last updated
11/03/2015
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