Individual
LEROY WAYNE KEISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3555 ROUND BARN CIR STE 100, SANTA ROSA, CA 95403-1757
(707) 528-1050
(707) 525-3874
Mailing address
3555 ROUND BARN CIR, SANTA ROSA, CA 95403-1757
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
G28436
CA
207RH0003X
Hematology & Oncology Physician
Primary
G28436
CA
207RX0202X
Medical Oncology Physician
G28436
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G284360
—
CA
Enumeration date
10/13/2006
Last updated
11/03/2021
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