Individual
DR. PHILIP EARL KEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
980 DIVISION ST, PRESCOTT, AZ 86301-1604
(928) 771-3163
(928) 771-3105
Mailing address
4060 W GRANDVIEW RD, PHOENIX, AZ 85053-2731
(602) 843-5205
(602) 547-9337
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
7417
AZ
Other
Enumeration date
05/19/2007
Last updated
07/08/2007
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