Individual
EDWIN P RATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6640 E CARONDELET DR, TUCSON, AZ 85710-2119
(520) 886-4199
(520) 886-3114
Mailing address
6640 E CARONDELET DR, TUCSON, AZ 85710-2119
(520) 886-4199
(520) 886-3114
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
8592
AZ
207ND0900X
Dermatopathology Physician
8592
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0626402
AETNA
AZ
01
—
1Z1079
HEALTHNET
AZ
01
—
AZ0005340
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
06/07/2006
Last updated
02/25/2008
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