Individual
CHARLES KAY RAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(602) 239-4322
(602) 239-4271
Mailing address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(602) 239-4322
(602) 239-4271
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
36971
AZ
2085R0202X
Diagnostic Radiology Physician
A94703
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
36971
AZ
2085R0204X
Vascular & Interventional Radiology Physician
A94703
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A947030
MEDI CAL
CA
05
—
218839
—
AZ
Enumeration date
06/14/2006
Last updated
05/27/2008
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