Organization
RAK PLASTIC AND RECONSTRUCTIVE SURGERY INC
Active
Other names
Thomas P. Rak, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS P RAK MD (PRESIDENT)
(937) 399-9997
Entity
Organization
Contact information
Practice address
415 E HOME RD, SPRINGFIELD, OH 45503-2708
(937) 399-9997
(937) 399-5633
Mailing address
415 E HOME RD, SPRINGFIELD, OH 45503-2708
(937) 399-9997
(937) 399-5633
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
35-069331
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0207029
—
OH
Enumeration date
08/14/2007
Last updated
12/17/2019
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