| Dr. Genova, Llc | |
|
5551 Winghaven Blvd Ste 250 O Fallon MO 63368-3630 | |
| (636) 695-2520 | |
| (314) 590-5925 |
| Full Name | Dr. Genova, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5551 Winghaven Blvd Ste 250, O Fallon, Missouri |
| Authorized Official Name and Position | James Snider (VP PHYSICIAN NETWORK) |
| Authorized Official Contact | 6366857804 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Genova, Llc 232 S Woods Mill Rd Chesterfield MO 63017-3406 Ph: (366) 685-7804 | Dr. Genova, Llc 5551 Winghaven Blvd Ste 250 O Fallon MO 63368-3630 Ph: (636) 695-2520 |
| NPI Number | 1396889960 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 04/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396889960 | NPI | - | NPPES |
| DD8375 | Other | MO | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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Internal Medicine At Winghaven Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5551 Winghaven Blvd Ste 290, O Fallon, MO 63368 Phone: 636-695-2575 Fax: 314-590-5938 | |
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Chiro Co Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2917 Highway K Ste F, O Fallon, MO 63368 Phone: 314-239-2427 | |
Progress West Healthcare Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Two Progress Point Parkway, O Fallon, MO 63368 Phone: 314-996-3628 Fax: 314-996-3610 | |
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