Individual
DR. GARY J KEOGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3715 HIGHWAY 280-431 NORTH, PHENIX CITY, AL 36867
(251) 633-7211
(251) 410-6079
Mailing address
4619 SPRING HILL AVE, MOBILE, AL 36608-5709
(251) 633-7211
(251) 410-6079
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
24656
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051005486
BCBS
AL
Enumeration date
09/07/2005
Last updated
09/17/2019
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