Individual
JAY A. KEYSTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
365 EVERGREEN DR, VACAVILLE, CA 95688-2136
(707) 446-8581
(707) 446-8581
Mailing address
365 EVERGREEN DR, VACAVILLE, CA 95688-2136
(707) 446-8581
(707) 446-8581
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
C29865
CA
207R00000X
Internal Medicine Physician
C29865
CA
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
C29865
CA
Other
Enumeration date
12/26/2011
Last updated
04/09/2020
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