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General NPI Number Information
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NPI Number | 1831149103
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Entity Type | Individual
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Provider Name | BRUCE W KRELL DPM
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Gender | Male
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 01/28/2014
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Provider Practice Location Address
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Address Line | 725 S DOBSON RD STE 203
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City | CHANDLER
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State | AZ
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Zip | 85224-5680
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Country | US
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Telephone | 480-807-8532
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Fax | 480-807-0420
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Provider Business Mailing Address
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Address Line | 725 S DOBSON RD STE 203
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City | CHANDLER
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State | AZ
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Zip | 85224-5680
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Country | US
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Telephone | 480-807-8532
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Fax | 480-807-0420
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 0316
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | AZ00316
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License Number State | AZ
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