Individual
KEITH M. D'SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 15TH AVE SE, PUYALLUP, WA 98372-3715
(253) 697-7900
Mailing address
PO BOX 469, SPOKANE, WA 99210-0469
(509) 473-6869
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
MD60614878
WA
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
Primary
MD60614878
WA
Other
Enumeration date
05/27/2008
Last updated
10/08/2022
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