Organization
TKMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY RICHARD KRUSE MD (OWNER)
(970) 927-8563
Entity
Organization
Contact information
Practice address
1460 E VALLEY RD, SUITE 160, BASALT, CO 81621-8411
(970) 927-8563
(970) 208-1675
Mailing address
1460 E VALLEY RD, SUITE 160, BASALT, CO 81621-8411
(970) 927-8563
(970) 208-1675
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37271
CO
Other
Enumeration date
08/27/2012
Last updated
10/09/2012
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