Individual
DR. ERIC M KRASKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2963 E COPPER POINT DR, MERIDIAN, ID 83642-9055
(208) 947-0590
Mailing address
PO BOX 2505, SALEM, OR 97308-2505
(888) 828-3197
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2004-0116
NM
207P00000X
Emergency Medicine Physician
Primary
MD175591
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10013393
LOVELACE
—
01
—
14924
PRESBY- TERIAN
—
05
—
62157256
—
NM
01
—
85-0236178-021
MOLINA HEALTHCARE
—
01
—
85-0236178-031
MOLINA HEALTHCARE SALUD
—
Enumeration date
05/27/2006
Last updated
09/06/2017
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