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Individual
DR. GARY D. RAUCH
Active
Individual
DR. GARY D. RAUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20737
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
189215
MEDCOST
SC
01
—
20052006
HEALTH SELECT OF SC
SC
05
—
207378
—
SC
01
—
576000934-097
TRICARE
SC
01
—
7154054
AETNA ID
SC
05
—
89065F1
—
NC
01
—
G763118510
MEDICARE PIN
SC
01
—
SC02096067
MEDICARE PIN
SC
01
—
SC02096121
MEDICARE PIN
SC
01
—
SC0209J577
MEDICARE PIN
SC
Enumeration date
01/18/2006
Last updated
12/08/2020
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