| St Louis Neurology Associates Inc | |
|
12810 Tesson Ferry Rd Saint Louis MO 63128-2913 | |
| (314) 849-5665 | |
| (314) 849-0274 |
| Full Name | St Louis Neurology Associates Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 12810 Tesson Ferry Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | John J O'keefe (PRESIDENT) |
| Authorized Official Contact | 3148495665 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Louis Neurology Associates Inc Po Box 4340 Saint Louis MO 63123-0140 Ph: (314) 849-5665 | St Louis Neurology Associates Inc 12810 Tesson Ferry Rd Saint Louis MO 63128-2913 Ph: (314) 849-5665 |
| NPI Number | 1811200983 |
|---|---|
| Provider Enumeration Date | 07/19/2010 |
| Last Update Date | 05/31/2011 |
| Medicare PECOS PAC ID | 0244354298 |
|---|---|
| Medicare Enrollment ID | O20100827000934 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811200983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | R7491 (Missouri) | Primary |
| Provider Name | John J Okeefe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891790788 PECOS PAC ID: 0143344192 Enrollment ID: I20100827000952 |
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