Individual
AMY C RAUCHWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1176 TOWN AND COUNTRY COMMONS, CHESTERFIELD, MO 63017-8200
(636) 893-1260
(636) 893-1261
Mailing address
1176 TOWN & COUNTRY COMMONS, CHESTERFIELD, MO 63017
(636) 893-1260
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2005011420
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053336859
—
MO
01
—
P00987639
RAILROAD MEDICARE
MO
Enumeration date
07/13/2006
Last updated
12/04/2014
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