Individual
SCOTT L KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3334 CAPITAL MEDICAL BLVD, SUITE 400, TALLAHASSEE, FL 32308-8405
(850) 219-1932
(850) 219-1881
Mailing address
CMR 422, BX 1011, APO, AE 09067-0422
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9103617
FL
Other
Enumeration date
02/13/2006
Last updated
04/24/2008
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