Organization
GARY KEOGH, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY JOHN KEOGH M.D. (OWNER)
(251) 633-7211
Entity
Organization
Contact information
Practice address
3715 HIGHWAY 280 431 N, PHENIX CITY, AL 36867
(251) 633-7211
(251) 410-6079
Mailing address
P.O. BOX 7627, MOBILE, AL 36670-0627
(251) 633-7211
(251) 410-6079
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
MD24656
AL
Other
Enumeration date
08/27/2007
Last updated
10/09/2019
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