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Individual
DR. KEITH ARBUCKLE
Active
Individual
DR. KEITH ARBUCKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
016005677
IL
213E00000X
Podiatrist
0836
AZ
213ES0103X
Foot & Ankle Surgery Podiatrist
016005677
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD000836
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016005677
—
IL
05
—
161742
—
AZ
Enumeration date
05/14/2012
Last updated
11/06/2020
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