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Individual

AUSTIN LEE RALLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
11 WHITEHALL RD, ROCHESTER, NH 03867-3226
(603) 332-5211
Mailing address
11 WHITEHALL RD, ROCHESTER, NH 03867-3226

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22738
NH
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/18/2019
Last updated
09/01/2022
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