Individual
DR. JONATHAN PERRY KRUGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6501 LOISDALE CT, SPRINGFIELD, VA 22150-1826
(703) 922-1185
(202) 346-3680
Mailing address
2101 E JEFFERSON ST, KP MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
(301) 816-6308
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0101045593
VA
207W00000X
Ophthalmology Physician
D53015
MD
207W00000X
Ophthalmology Physician
Primary
MD18670
DC
Other
Enumeration date
12/12/2006
Last updated
06/01/2021
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