Individual
BRADLEY KEIZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1600 EUREKA RD, ROSEVILLE, CA 95661-3027
(919) 619-2141
Mailing address
2325 STAGHORN WAY, ROSEVILLE, CA 95747-8893
(919) 619-2141
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
641442
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
3973
CA
Other
Enumeration date
03/12/2010
Last updated
02/11/2022
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