Individual
JEFFREY W RACCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 CEDAR ST SE, SUITE 6600, ALBUQUERQUE, NM 87106-4917
(505) 724-4300
(505) 724-4384
Mailing address
201 CEDAR ST SE, SUITE 6600, ALBUQUERQUE, NM 87106-4917
(505) 724-4300
(505) 724-4384
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2000-94
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
66405
—
NM
Enumeration date
06/27/2006
Last updated
07/12/2013
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