Individual
DR. ALVAN CHIBUEZE OMENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12700 SOUTHFORK RD STE 280, SAINT LOUIS, MO 63128-3287
(314) 892-6565
(314) 892-4828
Mailing address
12700 SOUTHFORK RD STE 280, SAINT LOUIS, MO 63128-3287
(314) 892-6565
(314) 892-4828
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
2011039119
MO
208000000X
Pediatrics Physician
2011039119
MO
Other
Enumeration date
01/21/2010
Last updated
08/21/2023
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