Organization
PHILIP J KRUEGER MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP JOHN KRUEGER MD (CEO)
(415) 297-0631
Entity
Organization
Contact information
Practice address
6719 ALVARADO RD STE 308, SAN DIEGO, CA 92120-5268
(619) 265-7912
Mailing address
2675 JUNIPER AVE, MORRO BAY, CA 93442-1767
(415) 297-0631
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/02/2021
Last updated
11/02/2021
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