Provider Demographics
NPI:1154496479
Name:KELLER, ROY TRUMAN JR (CFA)
Entity Type:Individual
Prefix:MR
First Name:ROY
Middle Name:TRUMAN
Last Name:KELLER
Suffix:JR
Gender:M
Credentials:CFA
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:115 E BREARLEY DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85737-6639
Mailing Address - Country:US
Mailing Address - Phone:520-797-4657
Mailing Address - Fax:
Practice Address - Street 1:7320 N LA CHOLLA BLVD
Practice Address - Street 2:SUITE #154-218
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741-2309
Practice Address - Country:US
Practice Address - Phone:520-404-8562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist