Individual
DR. ALAN KENNETH KETOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10595 N TATUM BLVD, SUITE E-146, PARADISE VALLEY, AZ 85253-1071
(602) 381-0800
(602) 381-0054
Mailing address
10595 N TATUM BLVD, SUITE E-146, PARADISE VALLEY, AZ 85253-1071
(602) 381-0800
(602) 381-0054
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
AZ13379
AZ
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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