Individual
MR. DAVID JAY LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
621 S NEW BALLAS RD, SUITE 499A, SAINT LOUIS, MO 63141-8232
(314) 251-7650
Mailing address
621 S NEW BALLAS RD, SUITE 499A, SAINT LOUIS, MO 63141-8232
(314) 251-7650
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
R2B74
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922025444
—
MO
01
—
P01251259
RAILROAD MEDICARE
MO
Enumeration date
07/17/2006
Last updated
11/24/2014
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