MR. Timothy Richard Kruse, M.D.

NPI #1306988126 in Basalt, Colorado

Provider Information

NPI Number: 1306988126
Entity Type: Individual
Name: MR. Timothy Richard Kruse, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Feb 12, 2007
Last Updated: Sep 9, 2015

Practice Location

Address: 711 E VALLEY RD
Address 2: UNIT 202C
City: Basalt
State: Colorado
ZIP Code: 81621-8370
Phone: (970) 927-8563

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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