Provider Demographics
NPI:1700128923
Name:KEYSER, EMILY YEAGER (MD)
Entity Type:Individual
Prefix:MS
First Name:EMILY
Middle Name:YEAGER
Last Name:KEYSER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1978 E CAMPBELL TER
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-5952
Mailing Address - Country:US
Mailing Address - Phone:707-953-6426
Mailing Address - Fax:
Practice Address - Street 1:1501 N CAMPBELL AVE RM 3402
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85724-7710
Practice Address - Country:US
Practice Address - Phone:520-626-0923
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-26
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ52209208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics