Individual
NICHOLAS JAMES KROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3325 POCAHONTAS RD, BAKER CITY, OR 97814-1464
(541) 523-1797
(541) 523-1799
Mailing address
3340 E GOLDSTONE DR, MERIDIAN, ID 83642-1026
(208) 367-5170
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
16423
NV
207P00000X
Emergency Medicine Physician
50514
AZ
207P00000X
Emergency Medicine Physician
M-14070
ID
207P00000X
Emergency Medicine Physician
Primary
MD184776
OR
Other
Enumeration date
06/24/2011
Last updated
08/22/2022
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