Individual
SCARLETT MARION KROENCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1712 PICASSO AVE, SUITE C, DAVIS, CA 95618-0546
(530) 753-6280
(530) 753-6281
Mailing address
1712 PICASSO AVE, SUITE C, DAVIS, CA 95618-0546
(530) 753-6280
(530) 753-6281
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3832
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
E3832
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E38320
—
CA
01
—
P00119813
RAIL ROAD MEDICARE
CA
Enumeration date
05/11/2006
Last updated
07/15/2009
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