Individual
CODY AUSTON KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(858) 657-1200
Mailing address
200 W ARBOR DR # 8756, SAN DIEGO, CA 92103-1911
(858) 761-8757
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A164123
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/05/2017
Last updated
07/06/2022
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