Individual
JOHN A. KEECH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4545 POINT FOSDICK DR NW, SUITE 215, GIG HARBOR, WA 98335-1700
(253) 530-8060
(253) 530-8062
Mailing address
4545 POINT FOSDICK DR NW, SUITE 215, GIG HARBOR, WA 98335-1700
(253) 530-8060
(253) 530-8062
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
20A6222
CA
207RH0003X
Hematology & Oncology Physician
Primary
OP60102903
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX62220
—
CA
01
—
8300001778
RAILROAD MEDICARE
CA
05
—
8558389
—
WA
Enumeration date
06/13/2005
Last updated
05/03/2012
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