Individual
MR. JONATHAN BEN KREGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
172 WASHINGTON AVE, STE A, UKIAH, CA 95482-6319
(707) 462-7729
(707) 462-0617
Mailing address
172 WASHINGTON AVE, STE A, UKIAH, CA 95482-6319
(707) 462-7729
(707) 462-0617
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3674
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E36740
—
CA
Enumeration date
11/16/2006
Last updated
07/08/2008
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