Individual
ELIZABETH WHITNEY RAPHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1211 E BROADWAY, COLUMBIA, MO 65201
(573) 441-5107
Mailing address
1809 JUNIPER DR, COLUMBIA, MO 65201-3860
(224) 616-9997
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/15/2020
Last updated
12/29/2020
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