Individual
KEENAN ALAN DODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2400 UNSER BLVD SE STE 8100, RIO RANCHO, NM 87124-3392
(505) 253-6100
Mailing address
5119 MIRADOR DR NW, ALBUQUERQUE, NM 87120-5734
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/14/2020
Last updated
08/01/2023
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