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Individual
DR. MYLES KEITH KRIEGER
Active
Individual
DR. MYLES KEITH KRIEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
ME26172
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
93405Z
PTAN
FL
01
—
ME26172
STATE LICENSE NUMBER
FL
Enumeration date
08/09/2005
Last updated
06/04/2015
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