Individual
ROBERT RAUSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2701 MALL DR, SUITE #9, FLORENCE, AL 35630-7502
(256) 768-1005
(256) 768-0209
Mailing address
2701 MALL DR, SUITE #9, FLORENCE, AL 35630-7502
(256) 768-1005
(256) 768-0209
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
AL6270
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000045171
—
AL
01
—
051045171
BLUE CROSS BLUE SHIELD AL
AL
01
—
16-10450
UNITED HEALTHCARE
AL
01
—
3132269
BLUE CROSS BLUE SHIELD TN
TN
01
—
RAILROAD MEDICARE
300098220
AL
Enumeration date
12/12/2006
Last updated
07/08/2007
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