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NPI Code Detail

MEDICARE: ST LUKES SPECIALTY CARE LLC

MEDICARE: ST LUKES SPECIALTY CARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician
2207Q00000XFamily Medicine Physician
3207RC0000XCardiovascular Disease Physician
4208600000XSurgery Physician

General Provider Information

NPI Number : 1013329150
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST LUKES SPECIALTY CARE LLC
Provider Business Mailing Address
First Line : 232 S WOODS MILL RD
Second Line :
City : CHESTERFIELD
State : MO
Zip : 63017-3406
Country : US
Telephone Number : 314-576-2306
Fax Number :
Provider Business Practice Location Address
First Line : 232 S WOODS MILL RD
Second Line :
City : CHESTERFIELD
State : MO
Zip : 63017-3406
Country : US
Telephone Number : 314-576-2306
Fax Number :
Authorized Official
Title or Position : CHIEF MEDICAL OFFICER
Name : DARREN HASKELL
Credential : MD
Telephone Number : 314-205-6444
Provider Enumeration Date : 05/23/2014
Last Update Date : 03/05/2026

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Directions to “ST LUKES SPECIALTY CARE LLC ” Practice Location

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