Individual
KEITH J HAAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7767 W. DEER VALLEY RD, PEORIA, AZ 85382-2103
(623) 487-3003
(623) 487-0952
Mailing address
7300 RANCH ROAD 2222, BUILDING 1, STE 200, AUSTIN, TX 78730
(512) 628-0465
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25303
AZ
207ND0101X
MOHS-Micrographic Surgery Physician
25303
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
63142
MEDICARE PTAN
AZ
Enumeration date
05/26/2006
Last updated
03/20/2023
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