Individual
DR. JOSEPH THEODORE ECKELKAMP JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9759 MANCHESTER RD, SAINT LOUIS, MO 63119-1346
(636) 669-2219
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2016006200
MO
Other
Enumeration date
06/27/2013
Last updated
11/04/2020
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