Individual provider · NPI-1

Dr. Keith C Fischer, MD

Nuclear Medicine · Saint Louis, MO

NPI number1699869925
StatusActive
Last updated in NPPESJan 24, 2018

Details

NPI
1699869925
Entity type
Individual (NPI-1)
Name
Dr. Keith C Fischer
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Oct 3, 2006
Last updated
Jan 24, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207U00000X Nuclear MedicineR7780MOYes
2085R0202X Radiology, Diagnostic RadiologyR7780MO

Practice location

510 S Kingshighway Blvd
Saint Louis, MO 63110-1016

Phone 314-362-7200 · Fax 314-747-4189

Mailing address

660 S Euclid Ave
C B 8131
Saint Louis, MO 63110-1010

Phone 314-362-7200 · Fax 314-747-4189

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