Doctor Name: | JOSEPH H KEEBLER |
NPI Number: | 1457327165 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | MA000104L |
Business Practice Address: | 116 Central Ave Oil City, PA - 163012736 |
Business Phone Number: | 8176760848 |
Business Fax Number: | 8146771289 |
Mailing Address: | 121 Doctors Ln, CLARION |
State: | PA |
Postal Code: | 162148515 |
Phone Number: | 8142263470 |
Fax Number: | 8142263479 |
NPI Enumeration Date: | 02/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | MA000104L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |