Individual
DR. EDWARD K RACZKA
Active
Individual
DR. EDWARD K RACZKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
298
CO
213ES0000X
Sports Medicine Podiatrist
298
CO
213ES0103X
Foot & Ankle Surgery Podiatrist
298
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01002989
—
CO
01
—
7047
BC/BS PROVIDER #
CO
Enumeration date
01/20/2006
Last updated
07/01/2015
Update your record
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