Individual
HERBERT V RACHELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ESPANOLA MULTI-SPECIALTY CLINIC, 1010 SPRUCE ST, ESPANOLA, NM 87532
(505) 367-0340
(505) 367-0346
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-5356
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
76-249
NM
207XS0106X
Orthopaedic Hand Surgery Physician
76-249
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22384
—
NM
Enumeration date
01/24/2007
Last updated
04/06/2017
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