# PAUL G KROUSE DPM PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Krouse Foot Orthopedics and Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063694818
- **Authorized official:** DR. PAUL G KROUSE (DOCTOR)
- **Authorized official phone:** (724) 539-3650

## Contact information

- **Practice address:** 1201 LIGONIER ST, LATROBE, PA 15650-1921
- **Practice address phone:** (724) 539-3650
- **Practice address fax:** (724) 539-3433
- **Mailing address:** 1201 LIGONIER ST, PO BOX 30, LATROBE, PA 15650-1921
- **Mailing address phone:** (724) 539-3650
- **Mailing address fax:** (724) 539-3433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | SC003511L | PA | Yes |

## Other

- **Enumeration date:** 12/04/2007
- **Last updated:** 05/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0012104790003 | — | PA |