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Individual

DR. SANDRA G LEVY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
8229 CLAYTON RD, SUITE 204, SAINT LOUIS, MO 63117-1155
(314) 991-5655
(314) 932-5080
Mailing address
8229 CLAYTON RD, SUITE 204, SAINT LOUIS, MO 63117-1155
(314) 991-5655
(314) 932-5080

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6343
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10292T
BLUE CROSS BLUE SHIELD
01
279375
HEALTHLINK
01
324370001
MEDICARE PTAN
MO
01
431886446LEY
MERCY
01
5456227
AETNA
01
62493
GHP
01
7088
BLUE CHOICE
Enumeration date
06/20/2006
Last updated
03/27/2014
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