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NPI Code Detail

MEDICARE: ST LUKES PRIMARY CARE LLC

MEDICARE: ST LUKES PRIMARY 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

General Provider Information

NPI Number : 1215695945
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST LUKES PRIMARY 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 : 314-336-6224
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 : 314-434-1500
Fax Number :
Authorized Official
Title or Position : CHIEF MEDICAL OFFICER
Name : DARREN HASKELL
Credential : MD
Telephone Number : 314-205-6444
Provider Enumeration Date : 11/30/2021
Last Update Date : 03/05/2026

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Directions to “ST LUKES PRIMARY CARE LLC ” Practice Location

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