Individual
JEFFREY J KEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
20940 N TATUM BLVD, STE B 290, PHOENIX, AZ 85050
(602) 734-1834
(602) 734-1835
Mailing address
20940 N TATUM BLVD, STE B 290, PHOENIX, AZ 85050
(602) 734-1834
(602) 734-1835
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3821
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3Z3912
HEALTHNET ID
—
05
—
402301
—
AZ
Enumeration date
03/19/2008
Last updated
12/10/2018
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