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Individual

SCOTT KRUGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3000 COLISEUM DR, SUITE 104, HAMPTON, VA 23666-5963
(757) 827-9400
(757) 827-9320
Mailing address
6350 CENTER DR STE 200, NORFOLK, VA 23502-4107
(757) 213-5700
(757) 213-5701

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
0101052119
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006097031
VA
01
39703
OPTIMA
VA
01
830003810
RAILROAD MEDICARE
VA
Enumeration date
06/17/2005
Last updated
01/17/2019
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