Edwin A Raby in Ft Wainwright - Medical

Edwin A Raby - NPI 1972576148

Edwin A Raby is a Medical in Ft Wainwright, Alaska. Edwin A Raby practices all healthcare services and medical treatments related to Medical. The NPI Number for Edwin A Raby is 1972576148. The last update date is 2007-07-08.

Edwin A Raby's current location address is 1060 Gaffney Rd, Ft Wainwright, Alaska. You can contact this provider via phone number 9073535418 and fax number 9073534845. The mailing address for Edwin A Raby is 1060 Gaffney Rd, Ft Wainwright, Alaska. To know further, please read the information below!

Provider Profile Detail

Provider Name Edwin A Raby
Address 1060 Gaffney Rd, Ft Wainwright, Alaska
Phone Number 9073535418
Fax Number 9073534845
Sole Proprietor X
Credentials --

NPI Number Detail

NPI Number 1972576148
Provider Enumeration Date 2006-02-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1060 Gaffney Rd
City Ft Wainwright
State Alaska (AK)
Post Code 997035001
Phone Number 9073535418
Fax Number 9073534845

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 64
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Edwin A Raby

What is the unique 10-digit identifier code assigned to Edwin A Raby by the Centers for Medicare & Medicaid Services?

The Edwin A Raby has been issued the NPI (National Provider Identifier) 1972576148 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Edwin A Raby's physical address?

The Edwin A Raby is physically located at 1060 Gaffney Rd, in the city of Ft Wainwright, AK, with the postal code 997035001.

What is Edwin A Raby's specialized field of practice, and what is the corresponding taxonomy classification code?

The Edwin A Raby's area of specialization is Medical, and the corresponding taxonomy code that categorizes this field of practice is 363Am0700X.

On what date did the Edwin A Raby receive the assignment of its 1972576148 from the Centers for Medicare & Medicaid Services?

The Edwin A Raby was issued its 1972576148 by the Centers for Medicare & Medicaid Services on 2006-02-08.

As of what date were the details related to Edwin A Raby most recently updated or revised?

The information pertaining to Edwin A Raby, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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