Edward J. Kruse D.O.

NPI 1093746984 - Surgery - 2086X0206X

NPI Details
NPI 1093746984
Gender Male
Enumeration Date 07/06/2006
Last Updated 03/19/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
1120 15TH ST
AUGUSTA GA, 30912-0004, US
Phone (706) 721-4726
Fax (706) 721-6828
Business Location
1499 WALTON WAY
STE 1400
AUGUSTA GA, 30901-2602, US
Phone (706) 828-8403
Fax
Toxanomy
Taxonomy Code 2086X0206X
License State Georgia
License Number 058055
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According to our database, Edward J. Kruse D.O. NPI is 1093746984, taxonomy code is 2086X0206X and license number is 058055, license state is located at Georgia. Edward J. Kruse D.O. physically located at 1120 15th St, Augusta GA, 30912-0004. NPI Number Edward J. Kruse D.O. has the Individual type.

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1093746984 NPI number is provided on an as is basis without warranty of any kind. 1093746984 is maintained by the National Plan & Provider Enumeration System. The contents of Edward J. Kruse D.O. are for informational purposes only.