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Organization

BRIAN KREUL MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN R KREUL MD (PRESIDENT)
(541) 773-6700
Entity
Organization

Contact information

Practice address
490 MURPHY RD, MEDFORD, OR 97504-8144
(541) 773-6700
(866) 430-4035
Mailing address
490 MURPHY RD, MEDFORD, OR 97504-8144
(541) 773-6700
(866) 430-4035

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD28013
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1205944782
INDIVIDUAL NPI
01
MD28013
MEDICAL LICENSE
OR
Enumeration date
05/17/2010
Last updated
05/17/2010
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