Individual
KEITH KREIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3227 N 88TH ST, MESA, AZ 85207-9782
(480) 380-1996
Mailing address
3227 N 88TH ST, MESA, AZ 85207-9782
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G6196
TX
Other
Enumeration date
10/24/2011
Last updated
10/25/2011
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