Individual
THOMAS J KETTERER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
560 W BROWN RD, #1008, MESA, AZ 85201-3221
(480) 833-8620
Mailing address
560 W BROWN RD, #1008, MESA, AZ 85201-3221
(480) 833-8620
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD18540
AZ
Other
Enumeration date
01/04/2006
Last updated
07/08/2007
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