Dr David W Keetch, MD | |
12855 N 40 Dr, Suite 375, Saint Louis, MO 63141-8635 | |
(314) 567-6071 | |
(314) 567-7961 |
Full Name | Dr David W Keetch |
---|---|
Gender | Male |
Speciality | Urology |
Location | 12855 N 40 Dr, Saint Louis, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184608143 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 036-104975 (Illinois) | Secondary |
208800000X | Urology | 100522 (Missouri) | Primary |
Entity Name | Urology Of St. Louis, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528017191 PECOS PAC ID: 6204723786 Enrollment ID: O20050629000005 |
Mailing Address | Practice Location Address |
---|---|
Dr David W Keetch, MD 9852 Lebanon Greens Dr, Saint Louis, MO 63127-1514 Ph: (314) 849-0046 | Dr David W Keetch, MD 12855 N 40 Dr, Suite 375, Saint Louis, MO 63141-8635 Ph: (314) 567-6071 |
Dr. Charles Phillips Jones, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4921 Parkview Pl, Div Surg Urology, Ste 11c, Saint Louis, MO 63110 Phone: 314-362-8200 Fax: 314-454-5244 | |
Dr. Carl G Klutke, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1040 N Mason Rd, Ste 122, Saint Louis, MO 63141 Phone: 314-996-8060 Fax: 314-747-4871 | |
Dr. Nitai C Saha, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 533 Couch Ave, Suite 174, Saint Louis, MO 63122 Phone: 314-822-1413 Fax: 314-822-1859 | |
Michael James Glamore, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 Phone: 314-362-5000 | |
Dr. James Kelly, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3915 Watson Rd Ste 203, Saint Louis, MO 63109 Phone: 314-771-5822 Fax: 314-771-5827 | |
Maung Htein Thu, M.D Urology Medicare: Accepting Medicare Assignments Practice Location: 12700 Southfork Rd Ste 260, Saint Louis, MO 63128 Phone: 314-543-5270 | |
Dr. Zeynep Gul, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4921 Parkview Pl, Div Surg Urology, Ste 11c, Saint Louis, MO 63110 Phone: 314-362-8200 Fax: 314-454-5244 |