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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