Individual
DR. TERRY KEIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2020 PALOMINO LN STE 100, LAS VEGAS, NV 89106-4894
(702) 759-8600
(702) 384-1815
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
(916) 861-1486
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
036-105676
IL
2085R0202X
Diagnostic Radiology Physician
Primary
C54596
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C54596
MEDICAL STATE LICENSE
CA
Enumeration date
06/28/2006
Last updated
08/18/2021
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