Individual
DR. WADE ROBERT KELLER
Active
Individual
DR. WADE ROBERT KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
4692
AZ
207N00000X
Dermatology Physician
Primary
O-0559
ID
207ND0101X
MOHS-Micrographic Surgery Physician
O-0559
ID
207NS0135X
Procedural Dermatology Physician
O-0559
ID
Other
Enumeration date
06/01/2007
Last updated
11/03/2022
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