Organization
C W KRIEGER JR A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES W. KRIEGER JR. M.D. (PHYSICIAN/OWNER)
(985) 646-3664
Entity
Organization
Contact information
Practice address
1150 ROBERT BLVD, SUITE 190, SLIDELL, LA 70458-2004
(985) 646-3664
(985) 646-3683
Mailing address
PO BOX 1819, SLIDELL, LA 70459-1819
(985) 646-3664
(985) 646-3683
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
010738
LA
Other
Enumeration date
03/25/2008
Last updated
07/07/2008
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