Individual
BART L MC RAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CARONDELET HOLY CROSS HOSPITAL, 1171 W. TARGET RANGE ROAD, NOGALES, AZ 85621
(520) 287-2771
Mailing address
7425 N MONA LISA RD, APT 59, TUCSON, AZ 85741-4526
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
050410
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198368-01
—
AZ
Enumeration date
06/13/2006
Last updated
03/09/2009
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