Individual
KEITH PIRL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1035 PLACER ST, REDDING, CA 96001-1170
(530) 246-5710
(530) 241-7838
Mailing address
PO BOX 992790, REDDING, CA 96099-2790
(530) 246-5710
(530) 241-7838
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD063417L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016602020001
—
PA
Enumeration date
05/27/2005
Last updated
11/24/2020
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