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Individual

RALPH B RABIN

Active
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Individual

RALPH B RABIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
081
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480127653
MEDICARE RAILROAD
AZ
01
—
612151800
DEPARTMENT OF LABOR
AZ
05
—
700535
—
AZ
01
—
AZ0195110
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
09/21/2005
Last updated
01/06/2016
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