Organization
L.F.KRONER III MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUDWIG F KRONER III MD (OWNER)
(307) 382-5646
Entity
Organization
Contact information
Practice address
3950 TRAIL DR, JACKSON, WY 83001-9287
(307) 690-0865
Mailing address
3950 SOUTH TRAIL DRIVE, JACKSON, WY 83002
(307) 690-0865
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
3152A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0262740001
MEDICARE DMC
WY
05
—
123181200
—
WY
Enumeration date
12/14/2009
Last updated
10/21/2014
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