| Doctor Name: | DR. KEITH DAVID PFEIFER |
| NPI Number: | 1114089695 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.M. |
| License Number: | 000755 |
| Business Practice Address: | Eisenhower Army Medical Center Blg 300 Hospital Road Fort Gordon, GA - 30905 |
| Business Phone Number: | 7067872053 |
| Business Fax Number: | 7067872760 |
| Mailing Address: | Eisenhower Army Medical Center Podiatry Service, 300 Hospital Road FORT GORDON |
| State: | GA |
| Postal Code: | 309055650 |
| Phone Number: | 7067872625 |
| Fax Number: | 7067872760 |
| NPI Enumeration Date: | 12/14/2006 |
| NPI Last Update Date: | 12/11/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | 000755 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |