Individual
KEITH C. SODERBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2121 N CRAYCROFT RD BLDG 5, TUCSON, AZ 85712-2801
(520) 296-8500
(520) 733-2389
Mailing address
2121 N CRAYCROFT RD BLDG 5, TUCSON, AZ 85712-2801
(520) 296-8500
(520) 733-2389
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
29941
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
637887
—
AZ
Enumeration date
05/04/2006
Last updated
12/04/2020
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