Individual
RAY H. KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9505 S STEELE ST, TACOMA, WA 98444-1858
(253) 597-6800
Mailing address
PO BOX 34581, SEATTLE, WA 98124-1581
(509) 241-7349
(509) 241-7628
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00019732
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8586406
—
WA
Enumeration date
01/17/2007
Last updated
03/30/2009
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