Individual
DR. JEFFREY S RASCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 BOBCAT CIRCLE, MSU CLINIC, BOZEMAN, MT 59717
(406) 414-4780
Mailing address
915 HIGHLAND BLVD, BOZEMAN, MT 59715-6902
(406) 414-1826
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
57672501204
UT
207QS0010X
Sports Medicine (Family Medicine) Physician
59970
MN
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
11792
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000093458
BCBS OF MONTANA
MT
05
—
0143327
—
UT
05
—
100506339
—
UT
05
—
121126900
—
UT
01
—
57672501200001
BCBS GRP 22
UT
05
—
807165900
—
UT
01
—
84422
PEHP GRP 22
UT
01
—
90080
U HEALTH PLANS GRP22
UT
01
—
903343
DMBA GRP 22
UT
05
—
D6127
—
UT
01
—
QM0000025083
ALTIUS GRP 22
UT
Enumeration date
05/17/2006
Last updated
04/10/2025
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