Individual
DR. BRUCE ALAN KRUEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
20190 MARKET ST., ONANCOCK, VA 23417
(757) 789-3402
(757) 789-3862
Mailing address
PO BOX 323, 20190 MARKET ST, ONANCOCK, VA 23417-0323
(757) 789-3402
(757) 789-3862
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
0103000404
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
93-0164-0
—
VA
Enumeration date
06/30/2006
Last updated
07/08/2007
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