Organization
THOMAS M. KELLER, M.D. PROFESSIONAL CORPORATION
Active
Organization
THOMAS M. KELLER, M.D. PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA KELLER (ADMINISTRATOR)
(707) 528-3374
Entity
Organization
Contact information
Practice address
1212 FARMERS LN, SUITE 4, SANTA ROSA, CA 95405-6747
(707) 528-3374
(707) 528-3201
Mailing address
1212 FARMERS LN, SUITE 4, SANTA ROSA, CA 95405-6747
(707) 528-3374
(707) 528-3201
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
0G272880
CA
Other
Enumeration date
03/23/2011
Last updated
03/23/2011
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