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Individual

LOUIS SCHRUFF JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1021 BROAD BRANCH CT, MC LEAN, VA 22101-2140
(866) 400-4295
(208) 763-3644
Mailing address
601 E FRONT AVE, SUITE 502, COEUR D ALENE, ID 83814-2701
(208) 415-0595
(208) 763-3644

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
023860
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1485721
LA
Enumeration date
07/09/2006
Last updated
08/26/2009
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