Individual
MARK H KEEP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3320 N 3RD AVE, PHOENIX, AZ 85013-4304
(480) 588-3165
(480) 588-3169
Mailing address
621 E MAYOR PLACE DR, AMERICAN FORK, UT 84003-8015
(801) 699-6977
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
181682-1205
UT
207RA0401X
Addiction Medicine (Internal Medicine) Physician
1816821205
UT
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
65316
AZ
Other
Enumeration date
11/28/2005
Last updated
09/13/2022
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