Individual
DR. DAVID PATRIC RASTALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO PHD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
5101024175
MI
2084N0400X
Neurology Physician
Primary
H95435
MD
2084N0400X
Neurology Physician
OS024179
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16223192
CAQH
—
Enumeration date
06/13/2018
Last updated
09/26/2024
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