Individual
JUDE ONAGHISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11133 DUNN RD, SAINT LOUIS, MO 63136-6163
(314) 317-0600
(314) 317-0606
Mailing address
12101 WOODCREST EXECUTIVE DR STE 210, SAINT LOUIS, MO 63141-5047
(314) 317-0600
(314) 317-0606
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2015020203
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124376942
—
MO
Enumeration date
08/28/2012
Last updated
04/05/2016
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