Individual
DR. KEITH ANTHONY HRUSKA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2003002293
MO
207R00000X
Internal Medicine Physician
Primary
DR.0046160
CO
208M00000X
Hospitalist Physician
2003002293
MO
208M00000X
Hospitalist Physician
DR.0046160
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206011314
—
MO
05
—
71403736
—
CO
01
—
P00281322
RAILROAD MEDICARE
—
01
—
P01547594
MEDICARE RAILROAD
CO
Enumeration date
02/23/2006
Last updated
11/23/2016
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