Raquel Ita Baranov in Yuma - General Practice

Raquel Ita Baranov - NPI 1649231077

Raquel Ita Baranov is a General Practice in Yuma, Arizona. Raquel Ita Baranov practices all healthcare services and medical treatments related to General Practice. The NPI Number for Raquel Ita Baranov is 1649231077. The last update date is 2014-04-24.

Raquel Ita Baranov's current location address is 2060 W 24th St, Yuma, Arizona. You can contact this provider via phone number 9288198999 and fax number 9285395579. The mailing address for Raquel Ita Baranov is 2060 W 24th St, Yuma, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Raquel Ita Baranov
Address 2060 W 24th St, Yuma, Arizona
Phone Number 9288198999
Fax Number 9285395579
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1649231077
Provider Enumeration Date 2006-03-28
Last Updated Date 2014-04-24

Provider Mailing Address Detail

Address 2060 W 24th St
City Yuma
State Arizona (AZ)
Post Code 853646123
Phone Number 9288198999
Fax Number 9285395579

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No D5762
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
735102 AZ --

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FAQs about Raquel Ita Baranov

What is the unique 10-digit identification code issued to Raquel Ita Baranov by the Centers for Medicare & Medicaid Services?

The Raquel Ita Baranov has been assigned the NPI (National Provider Identifier) 1649231077 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Raquel Ita Baranov is physically located?

The Raquel Ita Baranov is situated at the following address: 2060 W 24Th St, Yuma, AZ 853646123.

What is Raquel Ita Baranov's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Raquel Ita Baranov's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.

On what date was the 1649231077 assigned to Raquel Ita Baranov?

The Raquel Ita Baranov was issued its 1649231077 on 2006-03-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Raquel Ita Baranov last refreshed?

The information related to the Raquel Ita Baranov, including its address, specialty, and other relevant details, was last updated on 2014-04-24.

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