Scott James Keckler M.D.

NPI 1154597011 - Surgery - 208600000X

NPI Details
NPI 1154597011
Gender Male
Enumeration Date 05/01/2008
Last Updated 12/04/2012
Entity Type Individual
Active Over 8 years ago
Practice Location
1965 S FREMONT AVE STE 100
SPRINGFIELD MO, 65804-2299, US
Phone (417) 820-3800
Fax
Business Location
PO BOX 2580
SPRINGFIELD MO, 65801-2580, US
Phone (417) 829-4620
Fax
Toxanomy
Taxonomy Code 208600000X
License State Missouri
License Number 2012024116
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According to our database, Dr. Scott James Keckler M.D. NPI is 1154597011, taxonomy code is 208600000X and license number is 2012024116, license state is located at Missouri. Scott James Keckler M.D. physically located at 1965 S Fremont Ave Ste 100, Springfield MO, 65804-2299. NPI Number Scott James Keckler M.D. has the Individual type.

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1154597011 NPI number is provided on an as is basis without warranty of any kind. 1154597011 is maintained by the National Plan & Provider Enumeration System. The contents of Scott James Keckler M.D. are for informational purposes only.