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NPI Code Detail

MEDICARE: DR. RONALD C KRIEGER M.D.

MEDICARE: DR. RONALD C KRIEGER 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
12085R0202XDiagnostic Radiology Physician13142OK

General Provider Information

NPI Number : 1588651186
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RONALD C KRIEGER M.D.
Provider Business Mailing Address
First Line : PO BOX 4975
Second Line :
City : TULSA
State : OK
Zip : 74159-0975
Country : US
Telephone Number : 918-743-8838
Fax Number : 918-743-9058
Provider Business Practice Location Address
First Line : 4111 S DARLINGTON AVE
Second Line : STE 700
City : TULSA
State : OK
Zip : 74135-6348
Country : US
Telephone Number : 918-743-8838
Fax Number : 918-743-9058
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2005
Last Update Date : 04/20/2008

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