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Individual

DR. ROXANNE R KEENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1213 15TH AVE. W, WILLISTON, ND 58801-3821
(701) 572-7651
Mailing address
1301 15TH AVE. W, MERCY MEDICAL CENTER, WILLISTON, ND 58801-3821
(701) 774-7400

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
12033
ND
207X00000X
Orthopaedic Surgery Physician
125051588
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
18053
ND
Enumeration date
05/31/2006
Last updated
11/01/2012
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