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NPI Code Detail

MEDICARE: DR. JOHN S O'KEEFFE M.D.

MEDICARE: DR. JOHN S O'KEEFFE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician30329CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205855004
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN S O'KEEFFE M.D.
Provider Business Mailing Address
First Line : 8890 N UNION BLVD STE 170
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-2701
Country : US
Telephone Number : 719-364-5005
Fax Number : 719-365-9911
Provider Business Practice Location Address
First Line : 8890 NORTH UNION BLVD
Second Line : SUITE 170
City : COLORADO SPRINGS
State : CO
Zip : 80920-2701
Country : US
Telephone Number : 719-364-5005
Fax Number : 719-365-9911
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 04/27/2020

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