Individual
DR. HEATHER M RAFAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
1601 MILLTOWN RD STE 24, WILMINGTON, DE 19808-4084
(302) 998-0178
Mailing address
208 NICHOLS AVE, WILMINGTON, DE 19803-2589
(267) 475-5174
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
E10000197
DE
213EP1101X
Primary Podiatric Medicine Podiatrist
SC005846
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E10000197
DE
213ES0103X
Foot & Ankle Surgery Podiatrist
SC005846
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E10000197
LICENSE NUMBER
DE
Enumeration date
11/24/2009
Last updated
07/29/2020
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