-- KEITH AUSTIN HAVENSTRITE -- MD
Individual Provider (NPI-1)
Active
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Information
- NPI Number
1336207042- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 314 MARTIN LUTHER KING JR WAY, TACOMA, WA, 984054250
- Phone
- (253) 403-7257
Specialties & Taxonomies
Thoracic Surgery (Cardiothoracic Vascular Surgery)
License: GA #041053
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Primary License: WA #MD60132453