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NPI Code Detail

MEDICARE: DR. LUKE ALAN TOWNSEND MD

MEDICARE: DR. LUKE ALAN TOWNSEND MD
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
1207RG0100XGastroenterology Physician13232521-1205UT

General Provider Information

NPI Number : 1134659824
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LUKE ALAN TOWNSEND MD
Provider Business Mailing Address
First Line : 660 SOUTH EUCLID AVENUE DEPARTMENT OF INTERNAL MEDICINE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63110-1618
Country : US
Telephone Number : 314-362-5000
Fax Number :
Provider Business Practice Location Address
First Line : 4403 HARRISON BLVD STE 3815
Second Line :
City : OGDEN
State : UT
Zip : 84403-3330
Country : US
Telephone Number : 801-387-5620
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2017
Last Update Date : 07/27/2023

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