Individual
MCKENZIE BLAIR RAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
14995 SHADY GROVE RD STE 350, ROCKVILLE, MD 20850-8726
(301) 251-1433
(301) 424-5266
Mailing address
14995 SHADY GROVE RD STE 350, ROCKVILLE, MD 20850-8726
(301) 251-1433
(301) 424-5266
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C07410
MD
Other
Enumeration date
08/19/2019
Last updated
11/25/2020
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