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Individual

CHRISTOPHER DAVID LIVESAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3635 VISTA AVE, SAINT LOUIS, MO 63110-2539
(314) 577-8750
Mailing address
24 COUNTRY SQUIRE LN, SAINT LOUIS, MO 63146-5535
(405) 742-6116

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2011018267
MO

Other

Enumeration date
06/15/2010
Last updated
06/29/2011
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