Individual
DR. GEORGE ELDRIDGE KEELER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
241 EAGLES ROOST LANE, LOPEZ ISLAND, WA 98621-9540
(360) 468-3630
(360) 468-3630
Mailing address
241 EAGLES ROOST LANE, LOPEZ ISLAND, WA 98621-9540
(360) 468-3630
(360) 468-3630
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
010154087
VA
207Q00000X
Family Medicine Physician
D0005706
MD
207Q00000X
Family Medicine Physician
Primary
MD00045117
WA
Other
Enumeration date
12/21/2009
Last updated
12/21/2009
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