Charles Kreuser, C.ST. A.S.C

NPI #1720303860 in West Hollywood, California

Provider Information

NPI Number: 1720303860
Entity Type: Individual
Name: Charles Kreuser, C.ST. A.S.C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist/Technologist, Other - Surgical Assistant
Credential: C.ST. A.S.C
Enumeration Date: Apr 1, 2010
Last Updated: Apr 1, 2010

Practice Location

Address: 1245 N LAUREL AVE
Address 2: #3
City: West Hollywood
State: California
ZIP Code: 90046-5144
Phone: (323) 654-2792

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist, Other - Surgical Assistant — Surgical Assistant	246ZC0007X	Primary
Specialist/Technologist, Other - Surgical Technologist — Surgical Technologist	246ZS0410X

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