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Organization

RICHARD W RAFAEL MD CHARTERED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD W RAFAEL M.D. (PRESIDENT)
(775) 323-4545
Entity
Organization

Contact information

Practice address
770 MILL ST, RENO, NV 89502-1321
(775) 323-4545
(775) 323-4869
Mailing address
770 MILL ST, RENO, NV 89502-1321
(775) 323-4545
(775) 323-4869

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
5289
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002016832
NV
Enumeration date
08/17/2010
Last updated
08/17/2010
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