Individual
JOSEPH JAMES KRAKKER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
203 S DAISY ST, SALMON, ID 83467-4709
(208) 756-6212
(888) 789-1866
Mailing address
203 S DAISY ST, SALMON, ID 83467-4709
(208) 756-5600
(888) 789-1866
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
7858
AK
207Q00000X
Family Medicine Physician
Primary
O-0946
ID
Other
Enumeration date
06/27/2013
Last updated
02/20/2017
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