Individual
DR. DWIGHT S KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2940 E BANNER GATEWAY DR, #200, GILBERT, AZ 85234-2168
(480) 964-2908
(480) 833-2136
Mailing address
PO BOX 29870, PHOENIX, AZ 85038-9870
(480) 964-2908
(480) 833-2136
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
14555
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283333
—
AZ
01
—
3Z3969
HEALTHNET
AZ
Enumeration date
06/08/2006
Last updated
09/09/2011
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