| Dr Jeffrey Malcolm Kraut, MD | |
|
510 Cypress St Ste D, Fort Bragg, CA 95437-5411 | |
| (707) 964-5696 | |
| (707) 964-6274 |
| Full Name | Dr Jeffrey Malcolm Kraut |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Adolescent Medicine |
| Location | 510 Cypress St Ste D, Fort Bragg, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285657189 | NPI | - | NPPES |
| OOG212380 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080A0000X | Pediatrics - Adolescent Medicine | G21238 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeffrey Malcolm Kraut, MD 510 Cypress St Ste D, Fort Bragg, CA 95437-5411 Ph: (707) 964-5696 | Dr Jeffrey Malcolm Kraut, MD 510 Cypress St Ste D, Fort Bragg, CA 95437-5411 Ph: (707) 964-5696 |
Dr. William Matthew Mahon, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 510 Cypress St Ste D, Fort Bragg, CA 95437 Phone: 707-964-5696 Fax: 707-964-6274 | |
Mr. Donavan D Spencer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 205 South St, Fort Bragg, CA 95437 Phone: 707-964-1251 | |
Gayle Holderness Tyerman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 510 Cypress St Ste D, Fort Bragg, CA 95437 Phone: 707-357-1001 | |
Dr. Prakash P Devaskar, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 700 River Dr, Fort Bragg, CA 95437 Phone: 707-961-4631 Fax: 707-964-1192 | |
Christopher Robshaw, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 510 Cypress St Ste D, Fort Bragg, CA 95437 Phone: 707-964-1251 |