Individual
DUKE KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
6644 E BAYWOOD AVE, MESA, AZ 85206-1747
(480) 321-2000
Mailing address
4720 E CLARENDON AVE, PHOENIX, AZ 85018-6016
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
007356
AZ
207P00000X
Emergency Medicine Physician
5315066555
MI
390200000X
Student in an Organized Health Care Education/Training Program
SH848782
OH
Other
Enumeration date
04/10/2013
Last updated
03/17/2018
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