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Individual

DR. KEI NAGATOMO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
16601 N 40TH ST STE 204, PHOENIX, AZ 85032-3356
(602) 996-4747
(602) 953-5466
Mailing address
16601 N 40TH ST STE 204, PHOENIX, AZ 85032-3356
(602) 996-4747
(602) 953-5466

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
009874
AZ
208600000X
Surgery Physician
324498
LA
208600000X
Surgery Physician
OT015332
PA

Other

Enumeration date
05/21/2013
Last updated
12/02/2022
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