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NPI Code Detail

MEDICARE: DEBORAH LEVY M.D.

MEDICARE: DEBORAH LEVY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207VF0040XUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician2024016554MO
2207V00000XObstetrics & Gynecology Physician2024016554MO

General Provider Information

NPI Number : 1467986950
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH LEVY M.D.
Provider Business Mailing Address
First Line : 10663 COUNTRY VIEW DR
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63141-7819
Country : US
Telephone Number : 314-753-0744
Fax Number :
Provider Business Practice Location Address
First Line : 1031 BELLEVUE AVE STE 200
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63117-1856
Country : US
Telephone Number : 314-977-7455
Fax Number : 314-977-7477
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2017
Last Update Date : 07/25/2024

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