Individual
KEITH JEFFREY STELZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
1800 E 19TH ST, THE DALLES, OR 97058-3389
(541) 296-7204
Mailing address
1700 E 19TH ST, THE DALLES, OR 97058-3317
(541) 296-7760
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
MD00028858
WA
2085R0001X
Radiation Oncology Physician
Primary
MD22525
OR
2085R0203X
Therapeutic Radiology Physician
MD00028858
WA
2085R0203X
Therapeutic Radiology Physician
MD22525
OR
Other
Enumeration date
10/07/2005
Last updated
09/12/2014
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