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NPI Code Detail

MEDICARE: PHILIP KRAUSE

MEDICARE: PHILIP KRAUSE
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207Q00000XFamily Medicine Physician31136NE

General Provider Information

NPI Number : 1942735295
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILIP KRAUSE
Provider Business Mailing Address
First Line : PSC 475 BOX 1
Second Line :
City : FPO
State : AP
Zip : 96350-1200
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : PSC 475 BOX 1
Second Line :
City : FPO
State : AP
Zip : 96350-1200
Country : US
Telephone Number : 315-264-4692
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2017
Last Update Date : 05/28/2026

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Directions to “ PHILIP KRAUSE ” Practice Location

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