Individual provider · Type 1 NPI

William Kruyer

Military Health Care Provider · Lackland A F B, TX

NPI number 1144290974 Active

Practice location

2200 Bergquist Dr, Suite 1 - Credentials/cmc
Lackland A F B, TX 78236-9907

Mailing address

2507 Kennedy Cir, Usafsam/feci
Brooks City-Base, TX 78235-5116

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1144290974

William Kruyer's National Provider Identifier is 1144290974, issued on Jan 24, 2006. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Lackland A F B, TX. The record was last updated on Jul 13, 2007.