| Peter Alan Krause Medical Corporation | |
|
2151 S College Dr Suite 203 Santa Maria CA 93455-1302 | |
| (414) 630-8683 | |
| Not Available |
| Full Name | Peter Alan Krause Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 2151 S College Dr, Santa Maria, California |
| Authorized Official Name and Position | Peter Alan Krause (OWNER) |
| Authorized Official Contact | 4146308683 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Alan Krause Medical Corporation 2151 S College Dr Suite 203 Santa Maria CA 93455-1302 Ph: (414) 630-8683 | Peter Alan Krause Medical Corporation 2151 S College Dr Suite 203 Santa Maria CA 93455-1302 Ph: (414) 630-8683 |
| NPI Number | 1265849772 |
|---|---|
| Provider Enumeration Date | 07/16/2014 |
| Last Update Date | 07/28/2014 |
| Medicare PECOS PAC ID | 4688892698 |
|---|---|
| Medicare Enrollment ID | O20140903001886 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265849772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C128885 (California) | Primary |
| Provider Name | Peter A Krause |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073534442 PECOS PAC ID: 9133195464 Enrollment ID: I20140903000078 |
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