Organization
CREVE COEUR INTERNAL MEDICINE, LLC
Active
Parent organization
ST. LUKES MEDICAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. LUKES MEDICAL GROUP
Authorized official
RICK SONNE (DIRECTOR)
(314) 576-2490
Entity
Organization
Contact information
Practice address
11550 OLIVE BLVD, STE 140, CREVE COEUR, MO 63141-7111
(314) 576-2490
Mailing address
121 SAINT LUKES CENTER DR, CHESTERFIELD, MO 63017-3518
(314) 576-2490
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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