Organization
DRS. BARAKE & GENOVA, 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
225 CLARKSON RD, ELLISVILLE, MO 63011-2278
(636) 207-8880
(636) 256-7797
Mailing address
232 S WOODS MILL RD, CHESTERFIELD, MO 63017-3417
(314) 576-2490
(314) 576-2473
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD6948
RAIL ROAD MEDICARE
MO
Enumeration date
02/16/2007
Last updated
11/14/2007
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