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Individual

DR. JARED D KRUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
201 STATE ST, ERIE, PA 16550-0002
(814) 877-6000
Mailing address
201 STATE ST, ERIE, PA 16550-0002
(814) 877-6000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS016296
PA
390200000X
Student in an Organized Health Care Education/Training Program
OT014159
PA

Other

Enumeration date
05/16/2011
Last updated
06/07/2016
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