Organization
PAUL G KROUSE DPM PC
Active
Other names
Krouse Foot Orthopedics and Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL G KROUSE (DOCTOR)
(724) 539-3650
Entity
Organization
Contact information
Practice address
1201 LIGONIER ST, LATROBE, PA 15650-1921
(724) 539-3650
(724) 539-3433
Mailing address
1201 LIGONIER ST, PO BOX 30, LATROBE, PA 15650-1921
(724) 539-3650
(724) 539-3433
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC003511L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012104790003
—
PA
Enumeration date
12/04/2007
Last updated
05/20/2008
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