person
Keith Westley Shillito, MD
Adult Medicine Physician in Parker, Arizona
NPI 1417954850

Keith Westley Shillito is an Adult Medicine Physician based in Parker, AZ and is specialized in Adult Medicine. Keith Westley Shillito practices in Parker, AZ and has the professional credentials of MD. The NPI Number for Keith Westley Shillito is 1417954850 and holds a License No. 32755 (Arizona).

The current practice location address for Keith Westley Shillito is 905 Fiesta, Parker, AZ and can be reached out via phone at 928-669-2225 and via fax at 928-669-6751. You can also correspond with Keith Westley Shillito through the mailing address at 905 FIESTA, PARKER, AZ - 85344-5152 (mailing address contact number: 928-669-2225).

Location: 905 Fiesta, Parker, AZ, 85344-5152
person
Provider Profile Details
NPI Number
1417954850
Provider Name
Keith Westley Shillito
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
905 Fiesta, Parker, AZ, 85344-5152
Phone Number
928-669-2225
Fax Number
928-669-6751
Provider Enumeration Date
06/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
862690 05 AZ
ZP03006701 05 AZ
480046 05 AZ
institution
Provider Business Practice Location Address Details
Address
905 Fiesta
City
State
Zip
85344-5152
Phone Number
928-669-2225
Fax Number
928-669-6751
person
Provider Business Mailing Address Details
Address
905 Fiesta
City
State
Zip
85344-5152
Phone Number
928-669-2225
Fax Number
928-669-6751
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
License No.
32755 (Arizona)
Definition
Definition to come.
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