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Individual

KEITH CARSON QUIROLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
747 52ND ST, DEPARTMENT OF HEMATOLOGY, OAKLAND, CA 94609-1809
(510) 428-3885
Mailing address
747 52ND ST, DEPARTMENT OF HEMATOLOGY, OAKLAND, CA 94609-1809
(510) 428-3885

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A43979
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A439790
MEDICAL
CA
Enumeration date
09/21/2006
Last updated
07/08/2007
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