Individual
DR. MICHAEL WAYNE KEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4766 E QUEEN CREEK RD, GILBERT, AZ 85297-8005
(480) 988-1908
Mailing address
28539 N SUNSET DR, QUEEN CREEK, AZ 85143-5888
(602) 463-9399
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S013847
AZ
Other
Enumeration date
09/02/2011
Last updated
09/02/2011
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