Dr. Richard C Krueger Jr.
M.D., Ph.D. | Pediatric Neonatal-Perinatal Medicine | Male
Dr. Richard C Krueger Jr., M.D., Ph.D. is a Glendale, California based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Dr. Richard C Krueger Jr. is
712 Geneva St, Glendale, California - 91206-2122. He can be contacted on phone at
505-506-1090 and fax number 888-734-8467.
Dr. Richard C Krueger Jr. is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Richard C Krueger Jr. is
1497784862 which was assigned by NPPES on 30 Jun, 2006 and it was last updated on 20 Sep, 2022.
Dr. Richard C Krueger Jr. license number is
G85014 for Pediatrics, Neonatal-Perinatal Medicine (2080N0001X) in California.
Dr. Richard C Krueger Jr. is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Dr. Richard C Krueger Jr. basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Neonatal-Perinatal Medicine |
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| Provider Name : | Dr. Richard C Krueger Jr. |
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| Credential : | M.D., Ph.D. |
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| Gender : | Male |
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Business Address:
Dr. Richard C Krueger Jr. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 712 Geneva St
Glendale, CA, 91206-2122
United States |
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| Phone Number : | 505-506-1090 |
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| Fax Number : | 888-734-8467 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1497784862 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 30 Jun, 2006 |
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| Last Updated On : | 20 Sep, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Richard C Krueger Jr. are as mentioned. Primary taxonomy code for Dr. Richard C Krueger Jr., M.D., Ph.D. is
2080N0001X (Pediatrics, Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | No | MD2006-0698 | NM |
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | No | 036.084830 | IL |
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | No | MD 60132358 | WA |
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | No | 01069425A | IN |
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | No | 28859 | OK |
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | No | 2012003667 | MO |
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | No | 21987 | MS |
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | Yes | G85014 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Richard C Krueger Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 000000745199 | Other (non-Medicare) | IN | ANTHEM PROVIDER NUMBER |
| 201046030 | MEDICAID | IN | |
| 75929856 | MEDICAID | CA | |
| G64223 | MEDICARE UPIN | CA | |
| M400061466 | MEDICARE PIN | IN | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2836 W 98th Pl
Evergreen Park, IL, 60805-2613
United States |
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| Phone Number : | 505-506-1090 |
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| Fax Number : | 888-734-8467 |
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Business Location:
Patients can refer following map for directions to
Dr. Richard C Krueger Jr. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.