Individual
DAVID A RASKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1399 WEIMER RAOD, SUITE 200, TAOS, NM 87571
(505) 758-2224
Mailing address
1397 WEIMER RD, TAOS, NM 87571-6284
(505) 758-2224
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R11351
NM
Other
Enumeration date
07/05/2006
Last updated
07/08/2007
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