Individual
RICHARD H KRUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
516 E. NIZHONI BLVD., GALLUP, NM 87301-1337
(505) 722-1000
(505) 722-1705
Mailing address
PO BOX 1337, GALLUP, NM 87305-1337
(505) 722-1000
(505) 722-1705
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
81246
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00006106
—
NM
05
—
415887
—
AZ
Enumeration date
06/22/2006
Last updated
05/09/2015
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