Creve Coeur Internal Medicine, LLC

NPI #1962868901 in Creve Coeur, Missouri

Provider Information

NPI Number: 1962868901
Entity Type: Organization
Organization Name: Creve Coeur Internal Medicine, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: ST. LUKES MEDICAL GROUP
Primary Specialty: Internal Medicine
Enumeration Date: Jan 6, 2016
Last Updated: Jan 6, 2016

Practice Location

Address: 11550 OLIVE BLVD
Address 2: STE 140
City: Creve Coeur
State: Missouri
ZIP Code: 63141-7111
Phone: (314) 576-2490

Authorized Official

Name: RICK SONNE
Title: DIRECTOR
Phone: (314) 576-2490

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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