Individual
LARRY RAY KROEPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5525 GROSSMONT CENTER DR, LA MESA, CA 91942-3009
(619) 644-6750
Mailing address
5525 GROSSMONT CENTER DR, LA MESA, CA 91942-3009
(619) 644-6750
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E1312
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E13120
—
CA
Enumeration date
08/26/2006
Last updated
07/08/2007
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