Individual
DR. THOMAS KEEFE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CHILDRENS PL, STE 2C AND 2D, SAINT LOUIS, MO 63110-1002
(314) 454-6043
(314) 454-4258
Mailing address
1 CHILDRENS PL, NWT 8328 CB 8116, SAINT LOUIS, MO 63110-1002
(314) 454-6043
(314) 454-4258
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2008015429
MO
2080P0210X
Pediatric Nephrology Physician
Primary
2008015429
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IL
Enumeration date
06/03/2008
Last updated
01/24/2018
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