Individual
JOHN JAY KEIZUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
825 SE BISHOP BLVD, SUITE 101, PULLMAN, WA 99163-5517
(509) 332-3488
(509) 334-6477
Mailing address
825 SE BISHOP BLVD, SUITE 101, PULLMAN, WA 99163-5517
(509) 332-3488
(509) 334-6477
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD00034193
WA
208800000X
Urology Physician
M-7195
ID
208800000X
Urology Physician
Primary
MD00034193
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1098839
—
WA
05
—
2006669
—
WA
05
—
805004400
—
ID
Enumeration date
09/22/2006
Last updated
07/14/2025
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