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Individual

DR. TYLER L KEATE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1236 E ELIZABETH ST, SUITE 1, FORT COLLINS, CO 80524-4000
(970) 224-2985
(970) 472-9381
Mailing address
1236 E ELIZABETH ST, SUITE 1, FORT COLLINS, CO 80524-4000
(970) 224-2985
(970) 472-9381

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25982
NE
207L00000X
Anesthesiology Physician
Primary
DR.0047575
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
14531232
CO
01
P00748259
MEDICARE - RR
Enumeration date
05/21/2007
Last updated
06/07/2013
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