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Individual

DR. ROBERT KEET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1595 SOQUEL DR, STE 400, SANTA CRUZ, CA 95065-1719
(831) 475-1111
(831) 475-0351
Mailing address
1595 SOQUEL DR STE 330, SANTA CRUZ, CA 95065-1722
(831) 465-7761
(831) 475-1156

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
G31017
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G31017
STATE LICENSE NUMBER
CA
01
GR0028554
MEDI-CAL GROUP NUMBER
CA
Enumeration date
09/06/2006
Last updated
08/30/2012
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