Dr. Genova, LLC

NPI #1396889960 in O Fallon, Missouri

Provider Information

NPI Number: 1396889960
Entity Type: Organization
Organization Name: Dr. Genova, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: ST. LUKE'S MEDICAL GROUP
Primary Specialty: Internal Medicine
Enumeration Date: Feb 16, 2007
Last Updated: Apr 6, 2021

Practice Location

Address: 5551 WINGHAVEN BLVD STE 250
City: O Fallon
State: Missouri
ZIP Code: 63368-3630
Phone: (636) 695-2520

Authorized Official

Name: JAMES SNIDER
Title: VP PHYSICIAN NETWORK
Phone: (636) 685-7804

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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