Individual
MR. TIMOTHY RICHARD KRUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
711 E VALLEY RD, UNIT 202C, BASALT, CO 81621-8370
(970) 927-8563
(970) 300-2883
Mailing address
711 E VALLEY RD, UNIT 202C, BASALT, CO 81621-8370
(970) 927-8563
(970) 300-2883
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37271-CO
CO
Other
Enumeration date
02/12/2007
Last updated
09/09/2015
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