Individual
BRIAN RAUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
755 SCOTT CIR, JBPHH, HI 96853-5399
(888) 683-2778
Mailing address
755 SCOTT CIR, JBPHH, HI 96853-5399
(888) 683-2778
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS12760
FL
207Q00000X
Family Medicine Physician
UO2760
FL
Other
Enumeration date
03/19/2012
Last updated
09/18/2023
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