Individual
DR. MATTHEW S KEENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12409 W INDIAN SCHOOL RD, C-306, AVONDALE, AZ 85392-9502
(623) 777-9970
(888) 420-4978
Mailing address
12409 W INDIAN SCHOOL RD, C-306, AVONDALE, AZ 85392-9502
(623) 777-9970
(888) 420-4978
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
23083
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0871440
BCBS OF AZ
AZ
Enumeration date
11/28/2006
Last updated
10/29/2013
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