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NPI Code Detail

MEDICARE: DR. DAVID J KRULL M.D.

MEDICARE: DR. DAVID J KRULL M.D.
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 PhysicianME24702FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P01096254OTHERFLRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
101-88991OTHERFLUNITED HEALTH CARE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
471973OTHERFLBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1265430953
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID J KRULL M.D.
Provider Business Mailing Address
First Line : 367 S. GULPH RD
Second Line : ATT IPM CREDENTIALING
City : KING OF PRUSSIA
State : PA
Zip : 19406-3121
Country : US
Telephone Number : 775-356-9393
Fax Number : 775-356-5590
Provider Business Practice Location Address
First Line : 606 4TH AVE W
Second Line :
City : PALMETTO
State : FL
Zip : 34221-5226
Country : US
Telephone Number : 941-722-7785
Fax Number : 941-729-5267
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 07/21/2022

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Directions to “ DR. DAVID J KRULL M.D.” Practice Location

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