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Organization

FENTON FAMILY PHYSICIANS, LLC

Active
Parent organization
ST. LUKES MEDICAL GROUP
Organization subpart
Yes

Provider details

NPI number
Legal business name
ST. LUKES MEDICAL GROUP
Authorized official
DARREN R. HASKELL M.D. (CHIEF MEDICAL OFFICER)
(314) 205-6444
Entity
Organization

Contact information

Practice address
774 GRAVOIS BLUFFS BLVD STE B, FENTON, MO 63026-7758
(636) 685-7734
(314) 590-5922
Mailing address
774 GRAVOIS BLUFFS BLVD, FENTON, MO 63026-7758
(636) 685-7804
(314) 336-5205

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
01/13/2016
Last updated
03/05/2026
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