Provider Demographics
NPI:1629135694
Name:LEVITT, ROBERT GORDON (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:GORDON
Last Name:LEVITT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7320 FORSYTH BLVD # CONDO303
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63105-2167
Mailing Address - Country:US
Mailing Address - Phone:314-660-9815
Mailing Address - Fax:314-977-1628
Practice Address - Street 1:1201 S GRAND BLVD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63104-1016
Practice Address - Country:US
Practice Address - Phone:314-977-5782
Practice Address - Fax:314-977-1628
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2021-02-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MOR51762085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology