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NPI 1396798054

NPI 1396798054 : MEDICAL SPECIALISTS OF ST LUKES LLC : CHESTERFIELD, MO

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General NPI Number Information
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    NPI Number           |    1396798054
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    Entity Type          |    Organization 
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    Legal Business Name  |    MEDICAL SPECIALISTS OF ST LUKES LLC 
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Dates
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    Enumeration Date     |    05/17/2006
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    Last Update Date     |    12/12/2025
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Provider Practice Location Address
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    Address Line         |    222 S WOODS MILL RD STE 750N 
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    City                 |    CHESTERFIELD
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    State                |    MO
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    Zip                  |    63017-3653
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    Country              |    US
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    Telephone            |    314-205-6600
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    Fax                  |    314-590-5941
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Provider Business Mailing Address
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    Address Line         |    121 SAINT LUKES CENTER DR 
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    City                 |    CHESTERFIELD
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    State                |    MO
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    Zip                  |    63017-3518
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    Country              |    US
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    Telephone            |    636-685-7804
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    Fax                  |    314-576-2344
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Authorized Official
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    Title or Position    |    CHIEF MEDICAL OFFICER
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    Name                 |     DARREN R. HASKELL 
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    Credential           |    MD
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    Telephone            |    314-205-6444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RN0300X
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    Taxonomy Name        |    Nephrology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207RG0100X
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    Taxonomy Name        |    Gastroenterology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    207K00000X
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    Taxonomy Name        |    Allergy & Immunology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    207RR0500X
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    Taxonomy Name        |    Rheumatology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    207RA0201X
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    Taxonomy Name        |    Allergy & Immunology (Internal Medicine) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    207RE0101X
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    Taxonomy Name        |    Endocrinology, Diabetes & Metabolism Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    207RI0200X
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    Taxonomy Name        |    Infectious Disease Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    
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    License Number State |    
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