Organization
KETO CONSULTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARISSE EMILY NOEL MD (OWNER)
(520) 272-6521
Entity
Organization
Contact information
Practice address
7469 E BROADWAY BLVD STE A, TUCSON, AZ 85710-1487
(520) 771-9288
Mailing address
7469 E BROADWAY BLVD STE A, TUCSON, AZ 85710-1487
(520) 771-9288
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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