Individual
DR. DOUGLAS LEE KRUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 CEDAR ST, JULESBURG, CO 80737
(970) 474-3323
(970) 474-2461
Mailing address
900 CEDAR ST, JULESBURG, CO 80737
(970) 474-3323
(970) 474-2461
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49376
CO
207Q00000X
Family Medicine Physician
M1189
TX
Other
Enumeration date
08/23/2005
Last updated
06/25/2014
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