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Organization

CLAYTON INTERNAL MEDICINE, LLC

Active
Find providers by NPI
Organization

CLAYTON INTERNAL MEDICINE, LLC

Active
Parent organization
ST. LUKE'S MEDICAL GROUP
Organization subpart
Yes

Provider details

NPI number
Legal business name
ST. LUKE'S MEDICAL GROUP
Authorized official
RICK SONNE (DIRECTOR)
(314) 576-2490
Entity
Organization

Contact information

Practice address
222 S WOODS MILL RD, STE 520N, CHESTERFIELD, MO 63017-3625
(314) 205-6839
(314) 576-2393
Mailing address
232 S WOODS MILL RD, ATTN: RICK SONNE, CHESTERFIELD, MO 63017-3417
(314) 576-4290

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DE0586
RR MEDICARE
MO
Enumeration date
08/21/2006
Last updated
11/27/2007
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