Individual
PHILIP RABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
12990 EMERSON RD., KIDRON, OH 44636-0010
(330) 857-0123
(330) 857-0246
Mailing address
PO BOX 10, KIDRON, OH 44636-0010
(330) 857-0123
(330) 857-0246
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4582
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2312483
—
OH
Enumeration date
03/14/2006
Last updated
07/08/2007
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