Organization
WILLIAM RAAKA, M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM RAAKA M.D. (PRESIDENT)
(707) 996-1622
Entity
Organization
Contact information
Practice address
181 ANDRIEUX ST, SUITE 100, SONOMA, CA 95476-6920
(707) 996-1622
(707) 996-4000
Mailing address
181 ANDRIEUX ST, SUITE 100, SONOMA, CA 95476-6920
(707) 996-1622
(707) 996-4000
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
A22847
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A228470
—
CA
Enumeration date
04/29/2008
Last updated
09/08/2009
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