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Individual

ANTHONY J KEELE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1417 N MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63701-2171
(573) 334-6053
(573) 334-7855
Mailing address
1417 N MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63701-2171
(573) 803-2941
(573) 803-0815

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2002008827
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
205849003
MO
01
DA4814
RAILROAD MEDICARE
MO
Enumeration date
02/27/2007
Last updated
05/27/2020
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