Individual
DR. CHARLES W KRIEGER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1051 GAUSE BLVD, SUITE 230, SLIDELL, LA 70458
(985) 280-3664
(985) 280-3683
Mailing address
1051 GAUSE BLVD STE 230, SLIDELL, LA 70458-2993
(985) 280-3664
(985) 280-3683
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
010738
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
173209500
ACS, DEPT. OF LABOR
LA
01
—
1801020433
NPI SMH PHYSICIAN NETWORK
LA
01
—
4120027
AETNA
LA
01
—
720778314
TRICARE
LA
Enumeration date
05/26/2006
Last updated
08/29/2018
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