Most Relevant Information
Provider Data
NPI Number: | 1003079302 |
Provider Name: | JANA KEELER PA-C |
Entity Type: | Individual |
Taxonomy Code: | 363A00000X |
Specialty: | Physician Assistant |
License Number: | 444 |
Most Important Dates
Enumeration Date: | 07/07/2008 |
Last Updated: | 07/07/2008 |
Provider Practice Location
450 MOUNTAIN VIEW ST
POWELL
WY
824352212
Practice Location Phone/Fax
Phone: | 3077547257 |
Fax: |
Provider Mailing Location
450 MOUNTAIN VIEW ST
POWELL
WY
824352212
Provider Mailing Phone/Fax
Phone: | 3077547257 |
Fax: |