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Organization

CONWAY INTERNISTS, LLC

Active
Parent organization
ST. LUKE'S MEDICAL GROUP
Organization subpart
Yes

Provider details

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

Contact information

Practice address
121 SAINT LUKES CENTER DR STE 402, CHESTERFIELD, MO 63017-3519
(314) 205-6160
(314) 590-5918
Mailing address
232 S WOODS MILL RD, CHESTERFIELD, MO 63017-3406
(636) 685-7804
(314) 576-2344

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
108578
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CJ3880
RR MEDICARE
MO
Enumeration date
08/31/2006
Last updated
03/05/2026
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