Individual
DR. EUGENE MARVIN KRANK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
4358 W 136TH ST, #D, HAWTHORNE, CA 90250-7127
(310) 219-3339
Mailing address
4358 W 136TH ST, #D, HAWTHORNE, CA 90250-7127
(310) 219-3339
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
0103000955
VA
213ES0131X
Foot Surgery Podiatrist
Primary
PD155R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0103000955
STATE LICENSE
VA
01
—
PD155R
STATE LICENSE
LA
Enumeration date
08/08/2009
Last updated
08/08/2009
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