Provider Demographics
NPI:1114089695
Name:PFEIFER, KEITH DAVID (DPM)
Entity Type:Individual
Prefix:DR
First Name:KEITH
Middle Name:DAVID
Last Name:PFEIFER
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:EISENHOWER ARMY MEDICAL CENTER PODIATRY SERVICE
Mailing Address - Street 2:300 HOSPITAL ROAD
Mailing Address - City:FORT GORDON
Mailing Address - State:GA
Mailing Address - Zip Code:30905-5650
Mailing Address - Country:US
Mailing Address - Phone:706-787-2625
Mailing Address - Fax:706-787-2760
Practice Address - Street 1:EISENHOWER ARMY MEDICAL CENTER
Practice Address - Street 2:BLG 300 HOSPITAL ROAD
Practice Address - City:FORT GORDON
Practice Address - State:GA
Practice Address - Zip Code:30905
Practice Address - Country:US
Practice Address - Phone:706-787-2053
Practice Address - Fax:706-787-2760
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2007-12-11
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Provider Licenses
StateLicense IDTaxonomies
GA000755213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery