KEITH AUSTIN HAVENSTRITE

TACOMA, WA
NPI1336207042
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: WA  MD60132453)
Additional Taxonomies208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: GA  041053)
Enumeration Date2006-12-05
Last Update Date2016-01-22
Business Address
KEITH AUSTIN HAVENSTRITE MD
314 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405-4250
Phone number: 253-403-7257
Mailing Address
KEITH AUSTIN HAVENSTRITE MD
314 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405-4250
Phone number: 253-403-7257