Provider Demographics
NPI:1164733515
Name:KEEGAN, MARY BRIDGET (MD)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:BRIDGET
Last Name:KEEGAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1717 BIDDLE ST
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63106-3454
Mailing Address - Country:US
Mailing Address - Phone:314-898-1700
Mailing Address - Fax:314-814-8542
Practice Address - Street 1:3930 S BROADWAY
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63118-4626
Practice Address - Country:US
Practice Address - Phone:314-898-1700
Practice Address - Fax:314-814-8542
Is Sole Proprietor?:No
Enumeration Date:2010-06-30
Last Update Date:2022-10-05
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Provider Licenses
StateLicense IDTaxonomies
MO2010017094207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology