Individual
GEORGE PETER KEOGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3901 6TH AVE, TACOMA, WA 98406-4940
(253) 756-7500
(253) 756-7501
Mailing address
3901 6TH AVE, TACOMA, WA 98406-4940
(253) 756-7500
(253) 756-7501
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00033867
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2029163
—
WA
Enumeration date
11/08/2006
Last updated
10/29/2012
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