Stephen Christopher Keller PA-C

NPI 1770596777 - Physician Assistant - 363A00000X

NPI Details
NPI 1770596777
Gender Male
Enumeration Date 08/14/2006
Last Updated 02/12/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
801 VASSAR DR NE
ALBUQUERQUE NM, 87106-2725, US
Phone (505) 248-4047
Fax (505) 248-7688
Business Location
801 VASSAR DR NE
ALBUQUERQUE NM, 87106-2725, US
Phone (505) 248-4047
Fax (505) 248-7688
Toxanomy
Taxonomy Code 363A00000X
License State Oklahoma
License Number PA-598
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According to our database, Stephen Christopher Keller PA-C NPI is 1770596777, taxonomy code is 363A00000X and license number is PA-598, license state is located at Oklahoma. Stephen Christopher Keller PA-C physically located at 801 Vassar Dr Ne, Albuquerque NM, 87106-2725. NPI Number Stephen Christopher Keller PA-C has the Individual type.

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1770596777 NPI number is provided on an as is basis without warranty of any kind. 1770596777 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen Christopher Keller PA-C are for informational purposes only.