Individual
KIMBERLY MICHELLE RAFACZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
645 E MISSOURI AVE STE 300, PHOENIX, AZ 85012
(602) 262-8900
Mailing address
645 E MISSOURI AVE STE 300, PHOENIX, AZ 85012-1351
(602) 262-8900
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
31315
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
868458
—
AZ
Enumeration date
04/20/2006
Last updated
09/24/2018
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