Individual
DR. KIRK JOHN RAEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
435 H ST, CHULA VISTA, CA 91910-4307
(619) 691-7290
(619) 691-7432
Mailing address
PO BOX 1104, JAMUL, CA 91935-1104
(619) 468-3119
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A4463
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX44630
—
CA
Enumeration date
06/28/2006
Last updated
03/28/2008
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