Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | SC007063 | PA |
Y | 222Z00000X | Podiatrist | SC007063 | PA |
NPI | 1073041778 |
---|---|
Provider Name | Dr. Eric Paul Krznaric |
First Address | Pompano Beach, FL 33060-8392 |
Second Address | York, PA 17402-9627 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2017 |
Last Update Date | 02/07/2020 |