Individual
SAMUAL KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
UNIVERSITY PSYCHIATRY CONSULTANTS, 2400 TUCKER NE, ALBUQUERQUE, NM 87131-0001
(505) 272-0518
Mailing address
2400 TUCKER NE, MSC09 5030, ALBUQUERQUE, NM 87131-0001
(505) 272-0518
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
93-186
NM
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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