Individual
BENITA KRUZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
313 PAINTED HILLS DR, IVINS, UT 84738-6082
(435) 656-3313
Mailing address
313 PAINTED HILLS DR, IVINS, UT 84738-6082
(435) 656-3313
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
036-085303
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-085303
ILLINOIS STATE LICENSE
IL
01
—
5132066-1205
UTAH STATE LICENSE
UT
01
—
K5135
TEXAS STATE LICENSE
TX
Enumeration date
04/11/2007
Last updated
05/26/2011
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