Individual
GLORIA KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2851 S AVENUE B, STE 201, YUMA, AZ 85364-7726
(928) 726-5600
Mailing address
2851 S AVE B, STE 201, YUMA, AZ 85364
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5554
AZ
Other
Enumeration date
10/29/2013
Last updated
12/14/2015
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