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NPI Code Detail

MEDICARE: DR. JOHN A KRUBA DO

MEDICARE: DR. JOHN A KRUBA DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician20A6776CA

General Provider Information

NPI Number : 1922092923
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN A KRUBA DO
Provider Business Mailing Address
First Line : 275 N EL CIELO
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92262
Country : US
Telephone Number : 760-323-8657
Fax Number : 760-318-9083
Provider Business Practice Location Address
First Line : 275 N EL CIELO RD
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92262-6972
Country : US
Telephone Number : 760-320-8814
Fax Number : 760-323-7204
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2005
Last Update Date : 02/01/2012

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Directions to “ DR. JOHN A KRUBA DO” Practice Location

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