DOUGLAS WAYNE KELLY

PHOENIX, AZ
NPI1104924158
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207XX0005X Orthopaedic Surgery, Sports Medicine
(Licence: AZ  12896)
Enumeration Date2006-09-20
Last Update Date2007-07-08
Business Address
-- DOUGLAS WAYNE KELLY M.D.
5501 N 19TH AVE 432
PHOENIX, AZ 85015-2450
Phone number: 602-242-7691
Mailing Address
-- DOUGLAS WAYNE KELLY M.D.
5501 N 19TH AVE 432
PHOENIX, AZ 85015-2450
Phone number: 602-242-7691
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