Individual
DR. KEITH DAVIS MOFFIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5900 COLISEUM BLVD, ALEXANDRIA, LA 71303-3714
(318) 386-8110
(318) 386-8107
Mailing address
5900 COLISEUM BLVD, ALEXANDRIA, LA 71303-3714
(318) 386-8110
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO.000360
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/04/2012
Last updated
12/22/2020
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