NPI 1003099771

John B. Krueger, MD, PC

Organisation Specialist Sandy, UT

Practice location

Address: 9660 S 1300 E, Sandy, UT 84094-3762
Phone: (801) 253-9753
Fax: (801) 253-9754
Mailing address: 23 Snowstar Ln, Sandy, UT 84092-4800

Authorised official

Name: John B Krueger
Title: Physician
Phone: (801) 253-9753

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 275855-1205 (UT)

Other Specialist providers in Utah →

Registry record

NPI: 1003099771
Entity type: Organization
NPI issued: 17 Dec 2007
Record last updated: 29 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.