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Individual

DR. RONALD PHILLIP KELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8300 W 38TH AVE, WHEAT RIDGE, CO 80033-6005
(303) 425-2088
Mailing address
6462 S QUEEN CT, LITTLETON, CO 80127-5850
(303) 972-2415
(303) 972-7598

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
32115
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01321157
CO
Enumeration date
04/25/2006
Last updated
10/13/2007
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