Healthcare Provider Details

I. General information

NPI: 1891015632
Provider Name (Legal Business Name): BREAST CARE CENTER AT ST. LUKE'S, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2010
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

232 S WOODS MILL RD STE 200 E
CHESTERFIELD MO
63017-3417
US

IV. Provider business mailing address

121 SAINT LUKES CENTER DR
CHESTERFIELD MO
63017-3518
US

V. Phone/Fax

Practice location:
  • Phone: 314-205-6491
  • Fax: 314-205-6492
Mailing address:
  • Phone: 314-205-6491
  • Fax: 314-205-6492

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DARREN R. HASKELL
Title or Position: CHIEF MEDICAL OFFICER
Credential: M.D.
Phone: 314-205-6444