Dr ERIN P KRUCKENBERG is a female medical professional, specializing in Physician Assistant. She graduated in 2017.
ALVA HOSPITAL AUTHORITY
800 SHARE DR
ALVA
OK
737173618
Tel: 5804303389
Npi | 1538675624 |
Pac Id | 9830459262 |
Professional Enrollment Id | I20180205000538 |
Last Name | KRUCKENBERG |
First Name | ERIN |
Middle Name | P |
Suffix | |
Gender | F |
Credential | |
Medical School Name | OTHER |
Graduation Year | 2017 |
Primary Specialty | PHYSICIAN ASSISTANT |
Secondary Specialty 1 | |
Secondary Specialty 2 | |
Secondary Specialty 3 | |
Secondary Specialty 4 | |
All Secondary Specialties | |
Organization Legal Name | ALVA HOSPITAL AUTHORITY |
Group Practice Pac Id | 5597755306 |
Number Of Group Practice Members | 8 |
Line 1 Street Address | 800 SHARE DR |
Line 2 Street Address | |
Marker Of Address Line 2 Suppression | |
City | ALVA |
State | OK |
Zip Code | 737173618 |
Phone Number | 5804303389 |
Hospital Affiliation Ccn 1 | 371341 |
Hospital Affiliation Lbn 1 | |
Hospital Affiliation Ccn 2 | 370026 |
Hospital Affiliation Lbn 2 | ST MARY'S REGIONAL MEDICAL CENTER |
Hospital Affiliation Ccn 3 | |
Hospital Affiliation Lbn 3 | |
Hospital Affiliation Ccn 4 | |
Hospital Affiliation Lbn 4 | |
Hospital Affiliation Ccn 5 | |
Hospital Affiliation Lbn 5 | |
Professional Accepts Medicare Assignment | Y |
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