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Individual

HENRY FRANKLIN KROUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3020 CHILDRENS WAY, SAN DIEGO, CA 92123-4223
(858) 966-5944
Mailing address
3860 CALLE FORTUNADA, SUITE 210, SAN DIEGO, CA 92123-4800
(858) 309-6303
(858) 309-6301

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
G28595
CA
207ZP0213X
Pediatric Pathology Physician
Primary
G28595
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G285950
CA
Enumeration date
11/13/2006
Last updated
10/11/2011
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