Individual
EDITHA A KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
625 N 6TH ST, PHOENIX, AZ 85004-2155
(602) 406-8222
(602) 406-7811
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
45763-020
WI
2085R0001X
Radiation Oncology Physician
Primary
53369
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34407000
—
WI
Enumeration date
06/16/2006
Last updated
10/30/2024
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