Individual
KRISTA MARIE RAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
C0003085
MD
363AS0400X
Surgical Physician Assistant
Primary
MA056356
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
COOO3085
LICENSE NUMBER
MD
01
—
MA056356
PA STATE LICENSE
PA
Enumeration date
12/08/2006
Last updated
06/11/2014
Update your record
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