Individual
DR. ROY O KROEKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
7081 N MARKS AVE 104, PMB 358, FRESNO, CA 93711-0232
(559) 432-5565
(559) 432-5255
Mailing address
7081 N MARKS AVE 104, PMB 358, FRESNO, CA 93711-0232
(559) 270-8072
(559) 201-9342
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
E14010
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
E14010
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
FZ216Z
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E14010
—
CA
01
—
196282200
DEPARTMENT OF LABOR
CA
01
—
E14010
CALIFORNIA LICENSE
CA
Enumeration date
02/19/2007
Last updated
05/13/2024
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