Individual
REBECCA L RATCLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 MAIN ST., MARSING, ID 83639
(208) 896-4159
(208) 896-4917
Mailing address
PO BOX 9, NAMPA, ID 83653-0009
(208) 467-4431
(208) 467-7684
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-9796
ID
207Q00000X
Family Medicine Physician
MD2005-0820
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA12005
IDAHO CONTROLLED SUBSTANC
ID
Enumeration date
06/13/2006
Last updated
03/07/2023
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