Individual
LUKE BLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1002
(314) 454-5304
Mailing address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1002
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2026027610
MO
Other
Enumeration date
06/18/2026
Last updated
06/18/2026
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