# RALPH B RABIN DPM LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RALPH B RABIN DPM LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1902063183
- **Legal business name:** RALPH B RABIN DPM LLC
- **Authorized official:** MR. RALPH B RABIN DPM (PRESIDENT)
- **Authorized official phone:** (623) 846-9000

## Contact information

- **Practice address:** 14044 W CAMELBACK RD, SUITE 114, LITCHFIELD PARK, AZ 85340-9428
- **Practice address phone:** (623) 846-9000
- **Practice address fax:** (623) 846-4021
- **Mailing address:** 4550 N 51ST AVE, SUITE 31, PHOENIX, AZ 85031-1708
- **Mailing address phone:** (623) 846-9000
- **Mailing address fax:** (623) 846-4021

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 05/16/2008
- **Last updated:** 05/16/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 612151800 | FEDERAL WORKERSCOMP | AZ |