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Individual

WILLIAM KRUYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2200 BERGQUIST DR, SUITE 1 - CREDENTIALS/CMC, LACKLAND A F B, TX 78236-9907
(210) 292-6707
Mailing address
2507 KENNEDY CIR, USAFSAM/FECI, BROOKS CITY-BASE, TX 78235-5116

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary

Other

Enumeration date
01/24/2006
Last updated
07/13/2007
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