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NPI Code Detail

MEDICARE: CRAIG A. KEEBLER MD

MEDICARE:   CRAIG A. KEEBLER  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD00020763WA

General Provider Information

NPI Number : 1245314962
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRAIG A. KEEBLER MD
Provider Business Mailing Address
First Line : PO BOX 84026
Second Line :
City : SEATTLE
State : WA
Zip : 98124-8426
Country : US
Telephone Number : 206-215-2525
Fax Number :
Provider Business Practice Location Address
First Line : 801 BROADWAY STE 730
Second Line :
City : SEATTLE
State : WA
Zip : 98122-4314
Country : US
Telephone Number : 206-215-2525
Fax Number : 206-215-3869
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2006
Last Update Date : 02/05/2009

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Directions to “ CRAIG A. KEEBLER MD” Practice Location

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