A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] |
| NPI # | 1962911750 |
| LBN Legal business name | KEYSTONE FUNCTIONAL MEDICINE, PC |
| Authorized official | ADAM SECHRIST - (MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/25/2017 |
| Last updated | 07/21/2022 - About 4 years ago |
| Identifiers | n/a |
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