Individual
DIANE JOY KRUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
CORNER OF STEWART AND BRELAND DR, NEW MEXICO STATE UNIVERSITY STUDENT HEALTH CENTER, LAS CRUCES, NM 88003-8001
(505) 646-1512
(505) 646-6428
Mailing address
PO BOX 30001, MSC 3529 NEW MEXICO STATE UNIVERSITY STUDENT HEALTH CEN, LAS CRUCES, NM 88003-8001
(505) 646-1512
(505) 646-6428
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
NM89237
NM
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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