Individual
DR. KEITH MANKOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
121 SAINT LUKES CENTER DR, STE 303, CHESTERFIELD, MO 63017-3509
(314) 434-3278
(314) 590-5949
Mailing address
121 SAINT LUKES CENTER DR, STE 303, CHESTERFIELD, MO 63017-3509
(314) 434-3278
(314) 590-5949
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
101799
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598783938
—
MO
05
—
832210183
—
MO
Enumeration date
07/17/2006
Last updated
07/03/2014
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