Individual
DAVID J KRASUCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
DAVID GRANT MEDICAL CENTER, 101 BODIN CIR, TRAVIS AFB, CA 94535
(707) 423-5370
Mailing address
60 MDG/SGCJ, 101 BODIN CIR, TRAVIS AFB, CA 94535
(707) 423-5370
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
L6-0A00769
DE
Other
Enumeration date
12/05/2016
Last updated
04/02/2019
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