Organization
DR. GENOVA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY P GENOVA MD (PHYSICIAN)
(636) 695-2520
Entity
Organization
Contact information
Practice address
5551 WINGHAVEN BLVD, SUITE 132, O FALLON, MO 63368-3617
(636) 695-2520
(636) 695-2526
Mailing address
5551 WINGHAVEN BLVD, SUITE 132, O FALLON, MO 63368-3617
(636) 695-2520
(636) 695-2526
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R3C40
MO
Other
Enumeration date
10/13/2006
Last updated
08/22/2020
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