Individual
DONALD G RAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1512 12TH AVE RD, NAMPA, ID 83686-6008
(208) 463-5431
Mailing address
PO BOX 9649, BOISE, ID 83707-4649
(208) 472-8103
(208) 472-8172
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M3121
ID
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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