Individual
EDMOND J RAKER
Active
Individual
EDMOND J RAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD00019975
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039588
LABOR AND INDUSTRIES #
WA
01
—
020039454
RAILROAD MC#
WA
01
—
1487703799
MONTANA MEDICAID
WA
05
—
8332405
—
WA
05
—
MD784WA
—
AK
01
—
R038
BLUE SHIELD #
WA
01
—
US0861508
AETNA SPECIALIST PIN
WA
Enumeration date
01/09/2007
Last updated
02/22/2013
Update your record
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