Organization
AVIVA H RASKAS, MD LLC
Active
Organization
AVIVA H RASKAS, MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY J PARCIAK (OFFICE MANAGER)
(314) 432-2580
Entity
Organization
Contact information
Practice address
8420 DELMAR BLVD, 505, SAINT LOUIS, MO 63124-2170
(314) 749-6621
(314) 432-0223
Mailing address
PO BOX 957723, SAINT LOUIS, MO 63195-7723
(314) 432-2580
(314) 432-0223
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2002011264
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507271104
—
MO
01
—
DE2099
GROUP PROVIDER #
MO
Enumeration date
06/08/2006
Last updated
08/29/2024
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