Healthcare Provider Details

I. General information

NPI: 1124461140
Provider Name (Legal Business Name): CHRISTINE VOGEL DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINE LUKE DO

II. Dates (important events)

Enumeration Date: 04/09/2013
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6994 MEXICO RD
SAINT PETERS MO
63376-1512
US

IV. Provider business mailing address

PO BOX 955534
SAINT LOUIS MO
63195-5534
US

V. Phone/Fax

Practice location:
  • Phone: 636-397-3231
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2020030996
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: