Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 164735-1205 | UT |
NPI | 1407815863 |
---|---|
Provider Name | Dr. William R Keye JR. |
First Address | Salt Lake City, UT 84108-1223 |
Second Address | Salt Lake City, UT 84108-1223 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2006 |
Last Update Date | 30/07/2012 |