Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | G42146 | CT |
NPI | 1013946565 |
---|---|
Provider Name | David Elliott Krieger |
First Address | Valencia, CA 91355-3708 |
Second Address | Valencia, CA 91355-3708 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2006 |
Last Update Date | 16/10/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A48834 | (02) | CA |