Organization
SANDRA G LEVY DC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA G LEVY DC (OWNER)
(314) 991-5655
Entity
Organization
Contact information
Practice address
608 N MCKNIGHT RD, SAINT LOUIS, MO 63132-4911
(314) 991-5655
(314) 991-4872
Mailing address
608 N MCKNIGHT RD, SAINT LOUIS, MO 63132-4911
(314) 991-5655
(314) 991-4872
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006343
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699711739
PROVIDER ID
MO
Enumeration date
08/19/2008
Last updated
08/19/2008
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