Individual
DR. KERI RAE DESOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1058 FAIR ST, SUITE B, PRESCOTT, AZ 86305
(928) 443-7777
(888) 972-8306
Mailing address
1058 FAIR ST S, SUITE B, PRESCOTT, AZ 86305
(928) 443-7777
(888) 972-8306
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31505
AZ
Other
Enumeration date
07/24/2006
Last updated
02/12/2016
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