Organization
WESTERN REGIONAL NEUROLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMILLE YVONNE KEENE MD (OWNER)
(865) 531-0176
Entity
Organization
Contact information
Practice address
2005 INJO DR, SUITE 103, LAKE HAVASU CITY, AZ 86403-5874
(865) 531-0176
(865) 531-0722
Mailing address
2005 INJO DR, SUITE 103, LAKE HAVASU CITY, AZ 86403-5874
(865) 531-0176
(865) 531-0722
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
45845
AZ
Other
Enumeration date
02/27/2012
Last updated
02/27/2012
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