Individual
KEITH MARTIN HARRIGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
25379
AZ
207N00000X
Dermatology Physician
Primary
29783
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510-66626
BCBS AL BHAM
—
01
—
510-66630
BCBS AL MGM
—
01
—
510-66639
BCBS AL HSV
—
Enumeration date
03/22/2007
Last updated
01/29/2010
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