Bruce Weaver Keller in Brigham City - Family Medicine
Bruce Weaver Keller - NPI 1427169036
Bruce Weaver Keller is a Family Medicine in Brigham City, Utah. Bruce Weaver Keller practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Bruce Weaver Keller is 1427169036. The last update date is 2009-11-25.
Bruce Weaver Keller's current location address is Po Box 719, Brigham City, Utah. You can contact this provider via phone number 4357342041 and fax number 4357238028. The mailing address for Bruce Weaver Keller is Po Box 719, Brigham City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Weaver Keller |
|---|---|
| Address | Po Box 719, Brigham City, Utah |
| Phone Number | 4357342041 |
| Fax Number | 4357238028 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1427169036 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2009-11-25 |
Provider Mailing Address Detail
| Address | Po Box 719 |
|---|---|
| City | Brigham City |
| State | Utah (UT) |
| Post Code | 843020719 |
| Phone Number | 4357342041 |
| Fax Number | 4357238028 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 151481-1205 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4192 | UT | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Bruce Weaver Keller by the Centers for Medicare & Medicaid Services?
The Bruce Weaver Keller has been issued the NPI (National Provider Identifier) 1427169036 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Bruce Weaver Keller's physical address?
The Bruce Weaver Keller is physically located at Po Box 719, in the city of Brigham City, UT, with the postal code 843020719.
What is Bruce Weaver Keller's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bruce Weaver Keller's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1427169036 to Bruce Weaver Keller?
The Bruce Weaver Keller received its 1427169036 assignment from the Centers for Medicare & Medicaid Services on 2006-08-31.
When was the Bruce Weaver Keller's information last updated?
The Bruce Weaver Keller's information was last updated on 2009-11-25.