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Individual

MR. JOHN JOSEPH O'KEEFE III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12818 TESSON FERRY RD STE 102, SAINT LOUIS, MO 63128-2945
(314) 849-5665
(314) 849-0274
Mailing address
12818 TESSON FERRY RD STE 102, SAINT LOUIS, MO 63128-2945
(314) 849-5665
(314) 849-0274

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
R7491
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
130008428
RAILROAD MEDICARE
MO
01
23276
BLUE CROSS BLUE SHIELD
05
R7491
MO
Enumeration date
06/16/2005
Last updated
02/13/2020
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