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MR. KEITH W MCDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
18511 HIGHLANDER MEDICS ST, FORT BLISS, TX 79906-5327
(915) 742-9897
Mailing address
6721 EL PARQUE DR, EL PASO, TX 79912-7309
(573) 208-0186

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2011040881
MO
367500000X
Certified Registered Nurse Anesthetist
AP128659
TX

Other

Enumeration date
06/06/2012
Last updated
03/06/2024
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