Organization
OUTSIDE THE BOX, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURENCE A LEVINE MD (OWNER)
(636) 926-2020
Entity
Organization
Contact information
Practice address
1475 KISKER RD, SUITE 270, SAINT CHARLES, MO 63304-8781
(636) 926-2020
(636) 926-3926
Mailing address
1475 KISKER RD, SUITE 270, SAINT CHARLES, MO 63304-8781
(636) 926-2020
(636) 926-3926
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD R4836
MO
Other
Enumeration date
12/14/2006
Last updated
08/22/2020
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