Individual
RICK LYNN RAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1617 N CALIFORNIA ST STE 1E, STOCKTON, CA 95204-6117
(209) 464-0150
(209) 464-7241
Mailing address
1901 N CALIFORNIA ST, STOCKTON, CA 95204-6005
(209) 946-6800
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G21883
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G21883
—
CA
Enumeration date
07/26/2006
Last updated
10/17/2012
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