Individual
JOHN JOSEPH O'KEEFE IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6031
Mailing address
11475 OLDE CABIN RD STE 200, SAINT LOUIS, MO 63141-7129
(314) 991-8200
(314) 991-8206
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2020040019
MO
2085R0202X
Diagnostic Radiology Physician
82958
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548604440
—
IL
05
—
200089558
—
MO
Enumeration date
04/22/2013
Last updated
03/01/2021
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