Douglas L. Keagle D.o. P.c.

NPI 1063572204 - Internal Medicine - 207R00000X

NPI Details
NPI 1063572204
Enumeration Date 12/11/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DOUGLAS LEE DOUGLAS
Position PRESIDENT
Phone (610) 534-6310
Fax (610) 534-6350
Practice Location
1501 LANSDOWNE AVE
SUITE 101
DARBY PA, 19023-1333, US
Phone (610) 534-6310
Fax (610) 534-6350
Business Location
1501 LANSDOWNE AVE
SUITE 101
DARBY PA, 19023-1333, US
Phone (610) 534-6310
Fax (610) 534-6350
Toxanomy
Taxonomy Code 207R00000X
License State Pennsylvania
License Number OS003117L
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According to our database, Douglas L. Keagle D.o. P.c. NPI is 1063572204, taxonomy code is 207R00000X and license number is OS003117L, license state is located at Pennsylvania. Douglas L. Keagle D.o. P.c. physically located at 1501 Lansdowne Ave, Darby PA, 19023-1333. NPI Number 1033115704 has the healthcare provider type.

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1063572204 NPI number is provided on an as is basis without warranty of any kind. 1063572204 is maintained by the National Plan & Provider Enumeration System. The contents of Douglas L. Keagle D.o. P.c. are for informational purposes only.