Individual
KEITH D WINTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
13555 W MCDOWELL RD, SUITE 304, GOODYEAR, AZ 85338-2624
(623) 935-5522
(623) 935-3220
Mailing address
2100 POWELL ST, STE 400, EMERYVILLE, CA 94608-1826
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2717
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
742909
—
AZ
Enumeration date
02/11/2006
Last updated
10/24/2019
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