Individual
DR. LEROY MARIO RASI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
276 GREEN VALLEY RD, FREEDOM, CA 95019-3112
(831) 722-6004
(831) 722-6036
Mailing address
276 GREEN VALLEY RD, FREEDOM, CA 95019-3112
(831) 722-6004
(831) 722-6036
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G86456
CA
Other
Enumeration date
09/02/2006
Last updated
07/08/2007
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