Individual
DR. GERALD G KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-1100
(801) 581-2955
Mailing address
PO BOX 3208, SALT LAKE CITY, UT 84110-3208
(801) 587-6340
(801) 587-6346
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
1539961205
UT
207NS0135X
Procedural Dermatology Physician
1539961205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002087060
—
NV
05
—
00500800
—
ID
05
—
0059619
—
MT
05
—
870468377001
—
UT
05
—
XPY101900
—
CA
Enumeration date
09/20/2006
Last updated
11/17/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us