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Individual

DR. JEREMY SCOTT KROES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3916 STATE ST, SANTA BARBARA, CA 93105-5602
(805) 564-5097
(323) 932-5356
Mailing address
2523 RALSTON LN, REDONDO BEACH, CA 90278-5314
(310) 344-5155

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A74428
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A744280
CA
Enumeration date
06/14/2006
Last updated
07/08/2007
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