Individual
JEFFREY TECKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5647
(314) 268-2775
Mailing address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5647
(314) 268-2775
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
108441
MO
2080P0206X
Pediatric Gastroenterology Physician
Primary
108441
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208057208
—
MO
Enumeration date
08/08/2006
Last updated
03/12/2021
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